Organization
SENTEW CARE NURSE PRACTITIONER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SENAIT TEWOLDE ANP-BC (NP)
(202) 670-2570
Entity
Organization
Contact information
Practice address
8322 BARK TREE CT, SPRINGFIELD, VA 22153-3828
(202) 670-2570
(202) 800-2845
Mailing address
8322 BARK TREE CT, SPRINGFIELD, VA 22153-3828
(202) 670-2570
(202) 800-2845
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN1003185
DC
Other
Enumeration date
05/17/2012
Last updated
05/17/2012
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