Healthcare Provider Details

I. General information

NPI: 1164517595
Provider Name (Legal Business Name): WASHINGTON VA MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 IRVING STREET NW
WASHINGTON DC
20422
US

IV. Provider business mailing address

50 IRVING STREET NW
WASHINGTON DC
20422
US

V. Phone/Fax

Practice location:
  • Phone: 202-745-8000
  • Fax: 202-745-2238
Mailing address:
  • Phone: 202-745-8000
  • Fax: 202-745-2238

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License NumberRN44935
License Number StateDC

VIII. Authorized Official

Name: MRS. ASHRAF N/O ALEHOSSEIN
Title or Position: ADULT NURSE PRACTITIONER
Credential: CRNP
Phone: 202-745-8000