Provider Demographics
NPI:1649088295
Name:MISKRE, ELISABETH ASHAGRE
Entity type:Individual
Prefix:
First Name:ELISABETH
Middle Name:ASHAGRE
Last Name:MISKRE
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 1:416 LEGATO TER
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-5052
Mailing Address - Country:US
Mailing Address - Phone:804-300-2386
Mailing Address - Fax:
Practice Address - Street 1:1444 ROCK CREEK FORD RD NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-1771
Practice Address - Country:US
Practice Address - Phone:202-390-9528
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-27
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant