ELLENI ABAYNEH WOLDEAMANUEL

RESTON, VA
NPI1982484051
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: VA  0024188041)
Additional Taxonomies363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MD  AC005921)
Enumeration Date2023-10-04
Last Update Date2025-07-24
Business Address
ELLENI ABAYNEH WOLDEAMANUEL
12007 SUNRISE VALLEY DR STE 120
RESTON, VA 20191-3460
Phone number: 703-522-2089
Mailing Address
ELLENI ABAYNEH WOLDEAMANUEL
12007 SUNRISE VALLEY DR STE 120
RESTON, VA 20191-3460
Phone number: 703-522-2089