Provider Demographics
NPI:1578994455
Name:ANAREME, MISSHAME
Entity Type:Individual
Prefix:
First Name:MISSHAME
Middle Name:
Last Name:ANAREME
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 NICHOLSON ST NW
Mailing Address - Street 2:APT 107
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-2356
Mailing Address - Country:US
Mailing Address - Phone:202-705-1439
Mailing Address - Fax:
Practice Address - Street 1:11 NICHOLSON ST NW
Practice Address - Street 2:APT 107
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-2356
Practice Address - Country:US
Practice Address - Phone:202-705-1439
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-03
Last Update Date:2013-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA9991374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide