MEDICARE: A.A SHEENA CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952841769
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A.A SHEENA CARE LLC

Provider Business Mailing Address
First Line	:	3108 COLUMBIA PIKE, MEZZANINE FLOOR
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22204
Country	:	US
Telephone Number	:	240-688-4525
Fax Number	:

Provider Business Practice Location Address
First Line	:	3108 COLUMBIA PIKE
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22204-4300
Country	:	US
Telephone Number	:	240-688-4525
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	LEOPOLD TCHAKOUTE PANKUI
Credential	:
Telephone Number	:	240-688-4525

Provider Enumeration Date	:	02/27/2017
Last Update Date	:	04/16/2026

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Directions to “A.A SHEENA CARE LLC ” Practice Location

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