Provider Demographics
NPI:1972377505
Name:AYELE, SOSNA BEKELE
Entity Type:Individual
Prefix:
First Name:SOSNA BEKELE
Middle Name:
Last Name:AYELE
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 1:6020 13TH PL NW APT 109
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-5036
Mailing Address - Country:US
Mailing Address - Phone:202-931-8602
Mailing Address - Fax:
Practice Address - Street 1:6020 13TH PL NW APT 109
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-5036
Practice Address - Country:US
Practice Address - Phone:202-931-8602
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-14
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No376K00000XNursing Service Related ProvidersNurse's Aide