Provider Demographics
NPI:1538634993
Name:SMITH, ARZELLA HINES
Entity Type:Individual
Prefix:MS
First Name:ARZELLA
Middle Name:HINES
Last Name:SMITH
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 1:7 DAIMLER DR
Mailing Address - Street 2:
Mailing Address - City:CAPITOL HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20743-2758
Mailing Address - Country:US
Mailing Address - Phone:301-983-4446
Mailing Address - Fax:
Practice Address - Street 1:900 VARNEY ST SE APT 314
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-4316
Practice Address - Country:US
Practice Address - Phone:202-292-0799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-11
Last Update Date:2018-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant