Provider Demographics
NPI:1578131348
Name:CAMERON, TRANENE SHAWAN
Entity Type:Individual
Prefix:
First Name:TRANENE
Middle Name:SHAWAN
Last Name:CAMERON
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 1:534 NICHOLSON ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-6225
Mailing Address - Country:US
Mailing Address - Phone:202-923-6336
Mailing Address - Fax:
Practice Address - Street 1:534 NICHOLSON ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-6225
Practice Address - Country:US
Practice Address - Phone:202-923-6336
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-16
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant