Provider Demographics
NPI:1477877058
Name:MERAGO, BERKINESH TAFFESSE (RN)
Entity Type:Individual
Prefix:MS
First Name:BERKINESH
Middle Name:TAFFESSE
Last Name:MERAGO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 SPRING ST
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-3616
Mailing Address - Country:US
Mailing Address - Phone:301-608-9710
Mailing Address - Fax:866-330-9362
Practice Address - Street 1:1300 SPRING ST
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-3616
Practice Address - Country:US
Practice Address - Phone:301-608-9710
Practice Address - Fax:866-330-9362
Is Sole Proprietor?:No
Enumeration Date:2010-03-25
Last Update Date:2010-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR186797163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse