Individual
BANCHIRGA ERMIAS WOLDESADIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4001
(703) 776-7113
Mailing address
3300 GALLOWS RD DEPT OF, FALLS CHURCH, VA 22042-3307
(703) 776-3582
(571) 665-6492
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024184230
VA
363LF0000X
Family Nurse Practitioner
343811
NY
Other
Enumeration date
11/05/2018
Last updated
07/22/2024
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