Individual
MISS EMNET A HABTEWOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6671A BACKLICK RD, SPRINGFIELD, VA 22150-2702
(571) 286-5592
(571) 286-5593
Mailing address
PO BOX 791775, BALTIMORE, MD 21279-1775
(571) 302-5000
(571) 302-5001
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN1048021
DC
363LF0000X
Family Nurse Practitioner
Primary
0024186176
VA
363LF0000X
Family Nurse Practitioner
Primary
NP1048021
DC
Other
Enumeration date
04/07/2020
Last updated
05/06/2026
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