Provider Demographics
NPI:1134478050
Name:WORKNEH, BEREKET H
Entity Type:Individual
Prefix:
First Name:BEREKET
Middle Name:H
Last Name:WORKNEH
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 1:5419 1ST ST NW APT 3
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-5246
Mailing Address - Country:US
Mailing Address - Phone:202-571-8493
Mailing Address - Fax:
Practice Address - Street 1:5419 1ST ST NW APT 3
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-5246
Practice Address - Country:US
Practice Address - Phone:202-571-8493
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-06
Last Update Date:2012-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide