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NPI Code Detail

MEDICARE: ELIZABETH YIRDAW

MEDICARE: ELIZABETH YIRDAW
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
1374U00000XHome Health Aide
23747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1215286901
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH YIRDAW
Provider Business Mailing Address
First Line : 7826 EASTERN AVE NW STE 400
Second Line :
City : WASHINGTON
State : DC
Zip : 20012-1316
Country : US
Telephone Number : 202-545-1630
Fax Number : 202-545-1645
Provider Business Practice Location Address
First Line : 1010 VERMONT AVE NW STE 1003
Second Line :
City : WASHINGTON
State : DC
Zip : 20005-4927
Country : US
Telephone Number : 844-381-4432
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2012
Last Update Date : 11/28/2019

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