Provider Demographics
NPI:1306190350
Name:SHERENU, MIHRET KALIFA
Entity Type:Individual
Prefix:
First Name:MIHRET
Middle Name:KALIFA
Last Name:SHERENU
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 1:9312 PINEY BRANCH RD APT 202
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20903-2857
Mailing Address - Country:US
Mailing Address - Phone:443-509-7256
Mailing Address - Fax:
Practice Address - Street 1:9312 PINEY BRANCH RD APT 202
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20903-2857
Practice Address - Country:US
Practice Address - Phone:443-509-7256
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-30
Last Update Date:2012-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide