Provider Demographics
NPI:1659125003
Name:MOTLEY, VAQUINDA (FNP-BC)
Entity type:Individual
Prefix:
First Name:VAQUINDA
Middle Name:
Last Name:MOTLEY
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2240 M ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-1415
Mailing Address - Country:US
Mailing Address - Phone:202-296-9877
Mailing Address - Fax:
Practice Address - Street 1:2240 M ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-1415
Practice Address - Country:US
Practice Address - Phone:202-296-9877
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-12
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCNP2000382363LF0000X
VA0024189580363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily