Individual provider · Type 1 NPI

Tsgie Kidanemariam Hailu, LPN

Licensed Practical Nurse · Chantilly, VA

NPI number 1700581295 Active

Practice location

4213 Walney Rd
Chantilly, VA 20151-2923

Mailing address

2916 Dover Ln Apt 204
Falls Church, VA 22042-2916

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X0002099256 (VA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1700581295

Tsgie Kidanemariam Hailu, LPN's National Provider Identifier is 1700581295, issued on Apr 3, 2023. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Chantilly, VA. The record was last updated on Apr 3, 2023.