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NPI Code Detail

MEDICARE: IRENE EHLAN

MEDICARE:   IRENE  EHLAN
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
2374U00000XHome Health AideHHA200002724DC

General Provider Information

NPI Number : 1891041380
Entity Type Code : Individual
Provider Name (Legal Business Name) : IRENE EHLAN
Provider Business Mailing Address
First Line : 4627 13TH ST NW
Second Line : #203
City : WASHINGTON
State : DC
Zip : 20011-4448
Country : US
Telephone Number : 301-518-5845
Fax Number :
Provider Business Practice Location Address
First Line : 524 KENYON ST NW APT 11
Second Line :
City : WASHINGTON
State : DC
Zip : 20010-2923
Country : US
Telephone Number : 301-518-5845
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2012
Last Update Date : 01/10/2025

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Directions to “ IRENE EHLAN ” Practice Location

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