Individual
DR. ABAYNEH ERMIAS WELDETSADIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
1062 ELDEN ST, HERNDON, VA 20170-3803
(703) 471-7000
Mailing address
43608 WHITE CAP TER, CHANTILLY, VA 20152-5802
(585) 750-7024
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024184586
VA
Other
Enumeration date
10/29/2009
Last updated
07/29/2022
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