MEDICARE: ASELET YOHANNES MERHAZION

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
1	163W00000X	Registered Nurse	RN1034595	DC

General Provider Information

NPI Number	:	1720680135
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASELET YOHANNES MERHAZION

Provider Business Mailing Address
First Line	:	2400 S GLEBE RD APT 127
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22206-2551
Country	:	US
Telephone Number	:	215-900-3866
Fax Number	:

Provider Business Practice Location Address
First Line	:	2400 S GLEBE RD APT 127
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22206-2551
Country	:	US
Telephone Number	:	215-900-3866
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/10/2020
Last Update Date	:	11/10/2020

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Directions to “ ASELET YOHANNES MERHAZION ” Practice Location

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