Individual provider · Type 1 NPI

Tizita Gedeon Tessema, NURSE PRACTITIONER

Gerontology Nurse Practitioner · Washington, DC

NPI number 1528612397 Active

Practice location

2150 Pennsylvania Ave NW
Washington, DC 20037-3201

Call (202) 741-2191 Map

Fax (202) 741-2791

Mailing address

8500 Upper Sky Way Unit 411
Laurel, MD 20723-5642

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200XRN1012448 (DC)
Gerontology Nurse Practitioner Primary 363LG0600XRN1012448 (DC)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1528612397

Tizita Gedeon Tessema, NURSE PRACTITIONER's National Provider Identifier is 1528612397, issued on Jul 30, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Washington, DC. The record was last updated on Jul 30, 2019.