Provider Demographics
NPI:1346061926
Name:WHITNEY, ANESHIA TYERKA
Entity type:Individual
Prefix:
First Name:ANESHIA
Middle Name:TYERKA
Last Name:WHITNEY
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 1:90 DARRINGTON ST SW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20032-2243
Mailing Address - Country:US
Mailing Address - Phone:202-971-2624
Mailing Address - Fax:
Practice Address - Street 1:90 DARRINGTON ST SW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-2243
Practice Address - Country:US
Practice Address - Phone:202-971-2624
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-17
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant