Individual
BANCHAYEHU GIZAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3001 HOSPITAL DR, CHEVERLY, MD 20785-1189
(301) 618-2000
Mailing address
1002 CHISWELL LN, SILVER SPRING, MD 20901-1115
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R212879
MD
Other
Enumeration date
01/08/2020
Last updated
01/30/2020
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