Provider Demographics
NPI:1912060211
Name:AYALEW, ZENA (RN)
Entity Type:Individual
Prefix:MRS
First Name:ZENA
Middle Name:
Last Name:AYALEW
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 1:5408 CHEYENNE KNOLL PL
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22312-2397
Mailing Address - Country:US
Mailing Address - Phone:703-370-2300
Mailing Address - Fax:703-370-2302
Practice Address - Street 1:6000 STEVENSON AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304-3577
Practice Address - Country:US
Practice Address - Phone:703-370-2300
Practice Address - Fax:703-370-2302
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-07361374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide