Provider Demographics
NPI:1346975125
Name:ANITEB MBELLA, ARIANE AIMEE
Entity Type:Individual
Prefix:
First Name:ARIANE AIMEE
Middle Name:
Last Name:ANITEB MBELLA
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 1:5046 CALL PL SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-7629
Mailing Address - Country:US
Mailing Address - Phone:301-728-3824
Mailing Address - Fax:
Practice Address - Street 1:5046 CALL PL SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-7629
Practice Address - Country:US
Practice Address - Phone:301-728-3824
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-18
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide