Sikirat Disu, RN

Individual provider Active NPI Nursing Home Administrator · Washington, DC

NPI 1962933358 · NPPES record last updated Mar 27, 2017

Key facts

NPI
1962933358
Entity type
Individual (NPI type 1)
Primary specialty
Nursing Home Administrator 376G00000X
License
RN46526 (DC)
Practice address
501 School St SW
Washington, DC 20024-2754
Phone
(240) 505-6980
NPI assigned
Mar 27, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN46526DCMDNursing Home Administrator

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Home Administrator 376G00000X RN46526 DC Yes

Addresses

Primary practice location

501 School St SW
Washington, DC 20024-2754

Mailing address

501 School St SW
Washington, DC 20024-2754
Phone (240) 505-6980

Other providers in Washington, DC

All providers in Washington, DC · Nursing Home Administrator in District of Columbia

Sources for this page

Verify at the official NPI Registry.