Provider Demographics
NPI:1043897788
Name:BERAKI, FREWEINI BEYENE
Entity type:Individual
Prefix:MS
First Name:FREWEINI
Middle Name:BEYENE
Last Name:BERAKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3701 LACY BLVD APT 223
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22041-1652
Mailing Address - Country:US
Mailing Address - Phone:571-275-3871
Mailing Address - Fax:
Practice Address - Street 1:3701 LACY BLVD APT 223
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22041-1652
Practice Address - Country:US
Practice Address - Phone:571-275-3871
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-27
Last Update Date:2021-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide