Provider Demographics
NPI:1609672906
Name:DEBELA, ELSABET ENDESHAW
Entity type:Individual
Prefix:
First Name:ELSABET
Middle Name:ENDESHAW
Last Name:DEBELA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17431 AMBAUM BLVD S UNIT C3
Mailing Address - Street 2:
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98148-1733
Mailing Address - Country:US
Mailing Address - Phone:206-697-7689
Mailing Address - Fax:
Practice Address - Street 1:17431 AMBAUM BLVD S UNIT C3
Practice Address - Street 2:
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98148-1733
Practice Address - Country:US
Practice Address - Phone:206-697-7689
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN61356303163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health