Provider Demographics
NPI:1003652413
Name:WEST, ARNETTA L
Entity type:Individual
Prefix:MRS
First Name:ARNETTA
Middle Name:L
Last Name:WEST
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 1:1931 GRAND WAY BLVD APT 115
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-2046
Mailing Address - Country:US
Mailing Address - Phone:703-899-9351
Mailing Address - Fax:
Practice Address - Street 1:4100 E CAPITOL ST NE APT D13
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-3300
Practice Address - Country:US
Practice Address - Phone:202-269-4784
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-04
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No374U00000XNursing Service Related ProvidersHome Health Aide