Provider Demographics
NPI:1538865928
Name:DARDEN, ANTONIO TREMOND
Entity type:Individual
Prefix:
First Name:ANTONIO
Middle Name:TREMOND
Last Name:DARDEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9704 THORNVILLE DR
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20744-3957
Mailing Address - Country:US
Mailing Address - Phone:202-839-2564
Mailing Address - Fax:
Practice Address - Street 1:1720 D ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-6610
Practice Address - Country:US
Practice Address - Phone:202-281-4372
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-07
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant