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NPI 1487019030 · live from the CMS NPI Registry

Yiesak W. Asfaw

Nurse Practitioner, Family in Washington, DC. National Provider Identifier 1487019030, active.

NPI record

NPI1487019030 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner, Family 363LF0000X
Practice location128 M St Nw, Washington, DC 20001
Practice phone202-854-3840
Mailing address3413 Olive Branch Dr, Silver Spring, MD 20904
EnumeratedDecember 28, 2015
Last updatedFebruary 5, 2016
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Nurse Practitioner, Family primary363LF0000XRN1014643 (DC)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.