Provider Demographics
NPI:1942099890
Name:BLUNT WATKINS, CHYNA
Entity type:Individual
Prefix:
First Name:CHYNA
Middle Name:
Last Name:BLUNT WATKINS
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 1:2800 HORNBEAM CT
Mailing Address - Street 2:
Mailing Address - City:GLENARDEN
Mailing Address - State:MD
Mailing Address - Zip Code:20706-5516
Mailing Address - Country:US
Mailing Address - Phone:240-644-2335
Mailing Address - Fax:
Practice Address - Street 1:3001 BLADENSBURG RD NE APT 610
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20018-2248
Practice Address - Country:US
Practice Address - Phone:202-913-8522
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant