Provider Demographics
NPI:1639621717
Name:TESSEMA, ALMAZ
Entity Type:Individual
Prefix:
First Name:ALMAZ
Middle Name:
Last Name:TESSEMA
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 1:8338 DRAPER LN
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-3234
Mailing Address - Country:US
Mailing Address - Phone:240-413-2697
Mailing Address - Fax:
Practice Address - Street 1:8338 DRAPER LN
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-3234
Practice Address - Country:US
Practice Address - Phone:240-413-2697
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-25
Last Update Date:2016-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDNA00808483376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCNA00808483OtherNURSE AID REGISTRY - DEPT. OF HEALTH - THE DISTRICT OF COLUMBIA