Lelisse Abate
Individual provider Active NPI Gerontology Nurse Practitioner · Washington, DC
NPI 1629523337 · NPPES record last updated Aug 23, 2016
Key facts
- NPI
- 1629523337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gerontology Nurse Practitioner 363LG0600X
- License
- RN1003559 (DC)
- Practice address
- 50 Irving St NW
Washington, DC 20422-0001 - Phone
- (240) 461-9199
- NPI assigned
- Aug 23, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN1003559 | DC | MD | Gerontology Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | RN1003559 | DC | Yes |
Addresses
Primary practice location
50 Irving St NW
Washington, DC 20422-0001
Mailing address
6909 Mayfair Rd
Laurel, MD 20707-5236
Phone (240) 461-9199
Other providers in Washington, DC
- Karol N Abarca
- Blessing Abasiekong
- Michael Gbolahan Abass
- Emily Ann Abate
- Frederique Abate
- Tigist Abate
- Tigist A Abate
- Viviane Abate
- Yewubnesh Abate
- Askal Abay
All providers in Washington, DC · Gerontology Nurse Practitioner in District of Columbia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.