Individual
MRS. TARAHN RENEE AIESI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
900 23RD ST NW, WASHINGTON, DC 20037-2342
(937) 219-7839
Mailing address
6209 PORTAL CT, WOODBRIDGE, VA 22193-3943
(937) 219-7839
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
NP210126550
DC
363LA2200X
Adult Health Nurse Practitioner
NP210126550
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP210126550
NP LICENSE
DC
Enumeration date
10/07/2022
Last updated
10/07/2022
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