Provider Demographics
NPI:1730559147
Name:DAVIS-MILLER, SHAROON
Entity type:Individual
Prefix:
First Name:SHAROON
Middle Name:
Last Name:DAVIS-MILLER
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 1:2920 NELSON PL SE APT 4
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-7770
Mailing Address - Country:US
Mailing Address - Phone:202-749-5793
Mailing Address - Fax:
Practice Address - Street 1:2920 NELSON PL SE APT 4
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-7770
Practice Address - Country:US
Practice Address - Phone:202-749-5793
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-28
Last Update Date:2015-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide