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NPI Code Detail

MEDICARE: TEWABECH GEBREKIRSTOS WERETA

MEDICARE: TEWABECH GEBREKIRSTOS WERETA
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
1363LF0000XFamily Nurse PractitionerNP500339320DC

General Provider Information

NPI Number : 1043161433
Entity Type Code : Individual
Provider Name (Legal Business Name) : TEWABECH GEBREKIRSTOS WERETA
Provider Business Mailing Address
First Line : 13146 COUNTRY RIDGE DR
Second Line :
City : GERMANTOWN
State : MD
Zip : 20874-1122
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2226 WISCONSIN AVE NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20007-4102
Country : US
Telephone Number : 202-944-8671
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2026
Last Update Date : 02/03/2026

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Directions to “ TEWABECH GEBREKIRSTOS WERETA ” Practice Location

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