Provider Demographics
NPI:1295484244
Name:MCBETH, ALJANEEN (CNA)
Entity type:Individual
Prefix:MS
First Name:ALJANEEN
Middle Name:
Last Name:MCBETH
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2511 20TH RD
Mailing Address - Street 2:APT 204
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22201
Mailing Address - Country:US
Mailing Address - Phone:703-725-0329
Mailing Address - Fax:
Practice Address - Street 1:2511 20TH RD
Practice Address - Street 2:APT 204
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22201
Practice Address - Country:US
Practice Address - Phone:703-725-0329
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-18
Last Update Date:2022-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1401152039OtherCNA LICENSE