Individual
MAEDOT BISRAT TEKLEHIWOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10313 GEORGIA AVE STE 307, SILVER SPRING, MD 20902-5006
(301) 754-2222
Mailing address
10313 GEORGIA AVE STE 307, SILVER SPRING, MD 20902-5006
(301) 754-2222
(301) 754-2011
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R231853
MD
363LG0600X
Gerontology Nurse Practitioner
R231853
MD
Other
Enumeration date
03/24/2023
Last updated
12/18/2023
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