Healthcare Provider Details

I. General information

NPI: 1659941938
Provider Name (Legal Business Name): ALYSON BEDEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2021
Last Update Date: 07/11/2025
Certification Date: 07/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 IRVING ST NW
WASHINGTON DC
20010-3017
US

IV. Provider business mailing address

1124 25TH ST NW APT T5
WASHINGTON DC
20037-1451
US

V. Phone/Fax

Practice location:
  • Phone: 703-282-1641
  • Fax:
Mailing address:
  • Phone: 703-282-1641
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number0024192073
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License NumberRN1039827
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: