MEDICARE: MRS. HANNA ATSBEHA GEBREEGZIHABER

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	374U00000X	Home Health Aide	200004302	FL

General Provider Information

NPI Number	:	1972311520
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. HANNA ATSBEHA GEBREEGZIHABER

Provider Business Mailing Address
First Line	:	1703 E WEST HWY APT 517
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-3074
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1703 E WEST HWY
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-3054
Country	:	US
Telephone Number	:	571-866-7955
Fax Number	:

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

Provider Enumeration Date	:	12/27/2024
Last Update Date	:	12/27/2024

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