Provider Demographics
NPI:1538621446
Name:WHITING, CHRISTIANA CIERRA
Entity type:Individual
Prefix:
First Name:CHRISTIANA
Middle Name:CIERRA
Last Name:WHITING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 MISSISSIPPI AVE SE APT 101
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20032-2412
Mailing Address - Country:US
Mailing Address - Phone:202-839-6700
Mailing Address - Fax:
Practice Address - Street 1:1414 V ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-5853
Practice Address - Country:US
Practice Address - Phone:202-705-0297
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-01
Last Update Date:2019-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant