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Individual

ETHAN CHANAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3230 PENNSYLVANIA AVE SE STE 205, WASHINGTON, DC 20020-3731
(202) 796-9775
Mailing address
3230 PENNSYLVANIA AVE SE STE 205, WASHINGTON, DC 20020-3731

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP500125704
DC

Other

Enumeration date
06/04/2024
Last updated
08/07/2025
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