Provider Demographics
NPI:1538749031
Name:POINDEXTER, CAROLYN
Entity type:Individual
Prefix:MS
First Name:CAROLYN
Middle Name:
Last Name:POINDEXTER
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 1:2321 4TH ST NE APT 503
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-1296
Mailing Address - Country:US
Mailing Address - Phone:202-387-0447
Mailing Address - Fax:
Practice Address - Street 1:738 HARVARD ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-3810
Practice Address - Country:US
Practice Address - Phone:202-232-5077
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-09
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide