Provider Demographics
NPI:1467713479
Name:WARD, TINA ANNETTE (HHA)
Entity Type:Individual
Prefix:MS
First Name:TINA
Middle Name:ANNETTE
Last Name:WARD
Suffix:
Gender:F
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1414 K ST SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20003-3234
Mailing Address - Country:US
Mailing Address - Phone:202-489-6361
Mailing Address - Fax:
Practice Address - Street 1:1414 K ST SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-3234
Practice Address - Country:US
Practice Address - Phone:202-489-6361
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-06
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide