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NPI Code Detail

MEDICARE: MERON ZEWDIE BIRIYE RN

MEDICARE: MERON ZEWDIE BIRIYE RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseR209008MD

General Provider Information

NPI Number : 1538682042
Entity Type Code : Individual
Provider Name (Legal Business Name) : MERON ZEWDIE BIRIYE RN
Provider Business Mailing Address
First Line : 12710 TURQUOISE TER
Second Line :
City : SILVER SPRING
State : MD
Zip : 20904-5364
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10440 LITTLE PATUXENT PKWY
Second Line :
City : COLUMBIA
State : MD
Zip : 21044-3561
Country : US
Telephone Number : 667-240-3614
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2017
Last Update Date : 07/18/2017

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