Provider Demographics
NPI:1043076920
Name:DANIEL, NEBIYU ASHENAFI
Entity type:Individual
Prefix:
First Name:NEBIYU
Middle Name:ASHENAFI
Last Name:DANIEL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6015 TERRAPIN PL UNIT 101
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22310-5484
Mailing Address - Country:US
Mailing Address - Phone:240-598-5291
Mailing Address - Fax:
Practice Address - Street 1:1616 MARION ST NW APT 213
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-3473
Practice Address - Country:US
Practice Address - Phone:202-299-0444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-27
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No374U00000XNursing Service Related ProvidersHome Health Aide