Individual
ASMERET TEWOLDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
106 IRVING ST NW STE 208, WASHINGTON, DC 20010-2993
(202) 722-6040
Mailing address
524 TUCKERMAN ST NW, WASHINGTON, DC 20011-1249
(804) 319-0417
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN1
DC
207Q00000X
Family Medicine Physician
RN1012983
DC
363L00000X
Nurse Practitioner
Primary
RN1012983
DC
Other
Enumeration date
07/23/2019
Last updated
08/15/2020
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