DIRIENE FORMBAT

Community Health Worker

Active Individual
NPI: 1366306839

Practice Address

702 15TH ST NE
Washington, DC 20002

Phone: (202) 388-8500

Specialties

Specialty Code Primary License
Community Health Worker 172V00000X Yes -

Frequently Asked Questions

NPI 1366306839 is the National Provider Identifier for DIRIENE FORMBAT, a Community Health Worker provider located in Washington, DC. This NPI was enumerated on December 10, 2025.
DIRIENE FORMBAT practices at 702 15TH ST NE, Washington, DC 20002.

Quick Facts

NPI
1366306839
Type
Individual
Enumerated
Dec 10, 2025
Last Updated
Dec 10, 2025

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