Provider Demographics
NPI:1376661504
Name:SHEETS, ARLENE H (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MRS
First Name:ARLENE
Middle Name:H
Last Name:SHEETS
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:MRS
Other - First Name:ARLENE
Other - Middle Name:H
Other - Last Name:SHEETS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:14412 BURSLEM TER
Mailing Address - Street 2:
Mailing Address - City:BURTONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20866-2014
Mailing Address - Country:US
Mailing Address - Phone:202-877-2845
Mailing Address - Fax:202-877-8118
Practice Address - Street 1:110 IRVING ST NW
Practice Address - Street 2:EAST BLDG, 1ST FLOOR, RM G1124
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2976
Practice Address - Country:US
Practice Address - Phone:202-877-2845
Practice Address - Fax:202-877-8118
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN40797363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health