Individual
KIDIST ALEMAYEHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6320 AUGUSTA DR STE 600, SPRINGFIELD, VA 22150-2503
(703) 385-3033
Mailing address
12504 BLUE PONDS TER, BELTSVILLE, MD 20705-6300
(703) 459-7919
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024185694
VA
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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