Provider Demographics
NPI:1083415681
Name:COLEMAN, AYANNA AYISHA (CNA)
Entity type:Individual
Prefix:MISS
First Name:AYANNA
Middle Name:AYISHA
Last Name:COLEMAN
Suffix:
Gender:
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 57TH ST SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-6581
Mailing Address - Country:US
Mailing Address - Phone:832-229-9183
Mailing Address - Fax:
Practice Address - Street 1:600 PENNSYLVANIA AVE SE STE 210
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-4344
Practice Address - Country:US
Practice Address - Phone:202-895-2828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-20
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCNA0000814582376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide