Individual provider · Type 1 NPI

Makeda Domoz Haileselassie, FNP

Family Nurse Practitioner · Washington, DC

NPI number 1720228323 Active

Practice location

900 23rd St NW
Washington, DC 20037-2342

Call (202) 715-5060 Map

Fax (202) 741-3396

Mailing address

6352 Dakine Cir
Springfield, VA 22150-1194

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	RN1002147 (DC)

Family Nurse Practitioner: Definition to come...

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About NPI 1720228323

Makeda Domoz Haileselassie, FNP's National Provider Identifier is 1720228323, issued on Feb 23, 2009. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Washington, DC. The record was last updated on Nov 21, 2022.