Provider Demographics
NPI:1164517595
Name:WASHINGTON VA MEDICAL CENTER
Entity Type:Organization
Organization Name:WASHINGTON VA MEDICAL CENTER
Other - Org Name:NONE
Other - Org Type:Other Name
Authorized Official - Title/Position:ADULT NURSE PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ASHRAF
Authorized Official - Middle Name:N/O
Authorized Official - Last Name:ALEHOSSEIN
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:202-745-8000
Mailing Address - Street 1:50 IRVING STREET NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20422
Mailing Address - Country:US
Mailing Address - Phone:202-745-8000
Mailing Address - Fax:202-745-2238
Practice Address - Street 1:50 IRVING STREET NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20422
Practice Address - Country:US
Practice Address - Phone:202-745-8000
Practice Address - Fax:202-745-2238
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN44935273Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit