Provider Demographics
NPI:1023503836
Name:WILKINS, LAKISHA ANITA (NURSING ASST)
Entity type:Individual
Prefix:
First Name:LAKISHA
Middle Name:ANITA
Last Name:WILKINS
Suffix:
Gender:F
Credentials:NURSING ASST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2237 DAWN LN
Mailing Address - Street 2:
Mailing Address - City:TEMPLE HILLS
Mailing Address - State:MD
Mailing Address - Zip Code:20748-4212
Mailing Address - Country:US
Mailing Address - Phone:202-413-5104
Mailing Address - Fax:
Practice Address - Street 1:700 7TH ST SW APT 207
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20024-2456
Practice Address - Country:US
Practice Address - Phone:202-421-3365
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-25
Last Update Date:2018-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCNA0000602434376K00000X
3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant