Provider Demographics
NPI:1285427096
Name:QUARLES, VIVIAN R
Entity type:Individual
Prefix:
First Name:VIVIAN
Middle Name:R
Last Name:QUARLES
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 1:1845 HARVARD ST NW APT 331
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-2359
Mailing Address - Country:US
Mailing Address - Phone:202-945-3475
Mailing Address - Fax:
Practice Address - Street 1:1845 HARVARD ST NW APT 607
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-2317
Practice Address - Country:US
Practice Address - Phone:202-749-5264
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-24
Last Update Date:2025-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant