Provider Demographics
NPI:1518623834
Name:GEBREMARIAM, FEVEN (PERSONAL CARE ATTEND)
Entity Type:Individual
Prefix:
First Name:FEVEN
Middle Name:
Last Name:GEBREMARIAM
Suffix:
Gender:F
Credentials:PERSONAL CARE ATTEND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 VERMONT AVE NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20005-4902
Mailing Address - Country:US
Mailing Address - Phone:844-381-4432
Mailing Address - Fax:855-436-9066
Practice Address - Street 1:2945 MILLS AVE NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20018-2542
Practice Address - Country:US
Practice Address - Phone:571-426-6484
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-10
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant