Individual
BEZAWIT ABEBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3456 HISTORIC SULLY WAY, CHANTILLY, VA 20151-3046
(703) 435-3838
Mailing address
3456 HISTORIC SULLY WAY, CHANTILLY, VA 20151-3046
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024187020
VA
Other
Enumeration date
05/14/2019
Last updated
03/04/2025
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