Individual provider · Type 1 NPI

Ashutabot E. Nki Iii

Student in an Organized Health Care Education/Training Program · Washington, DC

NPI number 1104433440 Active

Practice location

2480 16th St NW Apt 428
Washington, DC 20009-6703

Call (816) 255-5021 Map

Mailing address

26611 S Clark St Suite 700,
Arlington, VA 22202

Other practice locations

  • 931 Caslon Way Apt 104, Hyattsville, MD 20785-6005 · (816) 255-5021

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104433440

Ashutabot E. Nki Iii's National Provider Identifier is 1104433440, issued on Sep 30, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Washington, DC. The record was last updated on Sep 30, 2020.