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Contact Information

RWA INNOVATIVE PROVIDERS LLC
700 PENNSYLVANIA AVE SE STE 2087
WASHINGTON, DC20003-2493
 Phone: 202-408-7609
 Fax: 202-403-3861
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
 

Health Service

261QH0100X
 

Nursing Care

251J00000X
Indicates primary specialty

NPI Profile & details for RWA INNOVATIVE PROVIDERS LLC · (Female)

NPI # 1063023893
Status Active
Credentials
Entity Individual
Enumeration date 08/14/2020
Last updated 10/05/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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