Providence Hospital

Nurse Practitioner · Washington, DC

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At a glance

1150 Varnum St Ne, Washington, DC 20017-2180

NPPES record updated Jan 4, 2021. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

1150 Varnum St Ne
Washington, DC 20017-2180
Professional details: NPI, taxonomy & registry record
NPI1861954638
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Registry details

Primary taxonomy
Nurse Practitioner
Taxonomy code
363L00000X
Enumeration date
Apr 2, 2019
Record updated
Jan 4, 2021
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Emergency Medicine

207P00000X

Internal Medicine

207R00000X

Clinic / Center

261Q00000X

Specialty details in registry

261QM1300X

Specialty details in registry

261QU0200X

Nurse Practitioner

363L00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1150 Varnum St Ne
Washington, DC 20017-2180
Phone
(202) 854-7001
Fax
(202) 854-7990
Mailing address
1150 VARNUM ST NE

WASHINGTON, DC 200172180
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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