Provider Demographics
NPI:1033876784
Name:ESA, LEILA NESREDIN
Entity Type:Individual
Prefix:
First Name:LEILA
Middle Name:NESREDIN
Last Name:ESA
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 1:6040 14TH ST NW APT 226
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-1752
Mailing Address - Country:US
Mailing Address - Phone:202-710-6448
Mailing Address - Fax:
Practice Address - Street 1:6040 14TH ST NW APT 226
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-1752
Practice Address - Country:US
Practice Address - Phone:202-710-6448
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-17
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA00199132376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide