Provider Demographics
NPI:1821872458
Name:EVERETT, ARNITA A
Entity Type:Individual
Prefix:
First Name:ARNITA
Middle Name:A
Last Name:EVERETT
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 1:3443 GREEN RD APT 2
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-4077
Mailing Address - Country:US
Mailing Address - Phone:216-798-2449
Mailing Address - Fax:
Practice Address - Street 1:3443 GREEN RD APT 2
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-4077
Practice Address - Country:US
Practice Address - Phone:216-798-2449
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-23
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker