=====================================================
General NPI Number Information
=====================================================
NPI Number | 1023913092
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ETSI HEALTHCARE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/10/2026
-----------------------------------------------------
Last Update Date | 10/10/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8017 16TH ST NW
-----------------------------------------------------
City | WASHINGTON
-----------------------------------------------------
State | DC
-----------------------------------------------------
Zip | 20012-1201
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 202-492-3227
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8017 16TH ST NW
-----------------------------------------------------
City | WASHINGTON
-----------------------------------------------------
State | DC
-----------------------------------------------------
Zip | 20012-1201
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 202-492-3227
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MARGARET ETUKENI
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 202-492-3227
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QP2300X
-----------------------------------------------------
Taxonomy Name | Primary Care Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | NULL
-----------------------------------------------------