Individual provider · Type 1 NPI

Samerawit Tadele

Pediatric Nurse Practitioner · Washington, DC

NPI number 1508681040 Active

Practice location

2333 Ontario Rd NW
Washington, DC 20009-2627

Mailing address

1438 Sun Meadow Dr
Orlando, FL 32824-5112

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X500343548 (DC)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1508681040

Samerawit Tadele's National Provider Identifier is 1508681040, issued on Nov 19, 2024. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Washington, DC. The record was last updated on Sep 4, 2026.