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NPI Code Detail

MEDICARE: ZENABOU IBRAHIM

MEDICARE: ZENABOU IBRAHIM
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerR214678MD
2374U00000XHome Health Aide
3363LP0808XPsychiatric/Mental Health Nurse Practitioner1037457DC

General Provider Information

NPI Number : 1376807412
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZENABOU IBRAHIM
Provider Business Mailing Address
First Line : 133 57TH ST SE
Second Line :
City : WASHINGTON
State : DC
Zip : 20019-6582
Country : US
Telephone Number : 202-553-1912
Fax Number :
Provider Business Practice Location Address
First Line : 2600 BRYAN PL SE
Second Line :
City : WASHINGTON
State : DC
Zip : 20020-4417
Country : US
Telephone Number : 202-553-1912
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2012
Last Update Date : 06/30/2023

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Directions to “ ZENABOU IBRAHIM ” Practice Location

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