Individual
HEYABE KIDANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
STUDENT
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(202) 877-0000
Mailing address
6215 61ST PL, RIVERDALE, MD 20737-2130
(301) 412-7823
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
NP1032518
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/06/2022
Last updated
08/23/2022
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