Individual
MILEN MENGISTU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1201 S HAYES ST, ARLINGTON, VA 22202-2700
(703) 418-3790
Mailing address
6524 DELIA DR, ALEXANDRIA, VA 22310-2610
(571) 435-0211
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024190407
VA
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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