Provider Demographics
NPI:1861148157
Name:FLYTHE, MARSHA L
Entity type:Individual
Prefix:MS
First Name:MARSHA
Middle Name:L
Last Name:FLYTHE
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 1:3518 PARKWAY TERRACE DR APT 1
Mailing Address - Street 2:
Mailing Address - City:SUITLAND
Mailing Address - State:MD
Mailing Address - Zip Code:20746-2563
Mailing Address - Country:US
Mailing Address - Phone:301-254-4499
Mailing Address - Fax:
Practice Address - Street 1:1100 2ND PL SE APT 310
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-2558
Practice Address - Country:US
Practice Address - Phone:202-254-4499
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-24
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide