Individual
ETSEGENET TAYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(202) 877-7000
Mailing address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN968064
DC
Other
Enumeration date
12/15/2011
Last updated
12/15/2011
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