Provider Demographics
NPI:1639439235
Name:ARRINGTON, LE'CETRA SHARNISE
Entity Type:Individual
Prefix:MS
First Name:LE'CETRA
Middle Name:SHARNISE
Last Name:ARRINGTON
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 1:1186 COGIC SQ
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-3621
Mailing Address - Country:US
Mailing Address - Phone:757-292-6529
Mailing Address - Fax:
Practice Address - Street 1:1186 COGIC SQ
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23434-3621
Practice Address - Country:US
Practice Address - Phone:757-292-6529
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-17
Last Update Date:2012-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA163WH0200X163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health