Individual provider · Type 1 NPI

Fanos Tekleab

Home Health Aide · Washington, DC

NPI number 1417424516 Active

Practice location

2512 24th St NE
Washington, DC 20018-2126

Fax (202) 832-8341

Mailing address

5746 Colorado Ave NW
Washington, DC 20011-7850

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse 164W00000XLPN1008614 (DC)
Home Health Aide 374U00000XNone listed
Home Health Aide Primary 374U00000XHHA14985 (DC)

Home Health Aide: A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.

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About NPI 1417424516

Fanos Tekleab's National Provider Identifier is 1417424516, issued on Oct 26, 2018. The primary taxonomy on file is Home Health Aide (374U00000X), and the practice location is in Washington, DC. The record was last updated on Sep 1, 2020.