Provider Demographics
NPI:1386152312
Name:TURNER, AMANI CHARLENE
Entity type:Individual
Prefix:
First Name:AMANI
Middle Name:CHARLENE
Last Name:TURNER
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 1:4721 TEXAS AVE SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-4192
Mailing Address - Country:US
Mailing Address - Phone:202-553-4194
Mailing Address - Fax:202-388-3620
Practice Address - Street 1:4721 TEXAS AVE SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-4192
Practice Address - Country:US
Practice Address - Phone:202-553-4194
Practice Address - Fax:202-388-3620
Is Sole Proprietor?:No
Enumeration Date:2018-01-11
Last Update Date:2018-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA13345374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide