Provider Demographics
NPI:1841169125
Name:GARNETT, ANGELO
Entity type:Individual
Prefix:
First Name:ANGELO
Middle Name:
Last Name:GARNETT
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 1:2910 STANTON RD SE # A206
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-7805
Mailing Address - Country:US
Mailing Address - Phone:202-820-4896
Mailing Address - Fax:
Practice Address - Street 1:4316 S CAPITOL ST SE APT 2
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-2259
Practice Address - Country:US
Practice Address - Phone:771-245-7402
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-04
Last Update Date:2025-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide