Individual ProviderVaquinda MotleyNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2240 M St NW, Washington, DC 20037-1415(202) 296-9877PECOS EnrollmentBased on the most recent information from CMS, provider Vaquinda Motley is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 4:18 PM.Profile DetailsProvider ID1659125003Provider TypeIndividualFull NameMotley, VaquindaCredentialFNP-BCGenderFemaleSole ProprietorYesEnumeration Date4/12/2024Last Updated7/2/2024Contact InformationPractice LocationPractice Address2240 M St NW, Washington, DC 20037-1415Phone(202) 296-9877FaxUnlisted FaxMailing LocationMailing Address2240 M St NW, Washington, DC 20037-1415Phone(202) 296-9877FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseNP2000382District of ColumbiaCode363LF0000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense0024189580Virginia