Healthcare Provider Details

I. General information

NPI: 1033456868
Provider Name (Legal Business Name): ANDREA YVETTE WALTON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MS. ADARIANA WALTON

II. Dates (important events)

Enumeration Date: 01/14/2013
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

475 ORANGE ST SE #1
WASHINGTON DC
20032-1637
US

IV. Provider business mailing address

475 ORANGE ST SE # 2
WASHINGTON DC
20032-1637
US

V. Phone/Fax

Practice location:
  • Phone: 202-710-4854
  • Fax:
Mailing address:
  • Phone: 202-710-4854
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: