Mebratie Nigussie, - Nurse Practitioner in Woodbridge, VA

Mebratie Nigussie, is a Nurse Practitioner - Acute Care based in Woodbridge, Virginia. Mebratie Nigussie is licensed to practice in Virginia (license number 0024192816) and his current practice location is 3949 Hartlake St, Woodbridge, Virginia. He can be reached at his office (for appointments etc.) via phone at (703) 909-9610.

NPI number for Mebratie Nigussie is 1205621661 and his current mailing address is 3949 Hartlake St, Woodbridge, Virginia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1205621661.

Contact Information

Mebratie Nigussie,
3949 Hartlake St,
Woodbridge, VA 22192-7425
(703) 909-9610
Not Available

Map and Direction




Provider's Profile

Full NameMebratie Nigussie
GenderMale
SpecialityNurse Practitioner - Acute Care
Location3949 Hartlake St, Woodbridge, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1205621661
  • Provider Enumeration Date: 04/14/2025
  • Last Update Date: 04/14/2025

Medical Identifiers

Medical identifiers for Mebratie Nigussie such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205621661NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 0024192816 (Virginia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mebratie Nigussie is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mebratie Nigussie,
3949 Hartlake St,
Woodbridge, VA 22192-7425

Ph: () -
Mebratie Nigussie,
3949 Hartlake St,
Woodbridge, VA 22192-7425

Ph: (703) 909-9610

Reviews and Comments


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