Healthcare Provider Details

I. General information

NPI: 1578221685
Provider Name (Legal Business Name): FEVEN BERHE CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2021
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 23RD ST S
ARLINGTON VA
22202-3738
US

IV. Provider business mailing address

3031 BORGE ST APT 105
OAKTON VA
22124-2803
US

V. Phone/Fax

Practice location:
  • Phone: 703-558-4922
  • Fax:
Mailing address:
  • Phone: 651-233-9729
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024183213
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: