| Senle Care | |
|
6628 E Wakefield Dr Apt B1 Alexandria VA 22307 | |
| (703) 345-0619 | |
| Not Available |
| Full Name | Senle Care |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 6628 E Wakefield Dr Apt B1, Alexandria, Virginia |
| Authorized Official Name and Position | Laura Evans (NP/OWNER) |
| Authorized Official Contact | 7038635447 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Senle Care 6628 E Wakefield Dr Apt B1 Alexandria VA 22307-6841 Ph: (703) 345-0619 | Senle Care 6628 E Wakefield Dr Apt B1 Alexandria VA 22307 Ph: (703) 345-0619 |
| NPI Number | 1376199273 |
|---|---|
| Provider Enumeration Date | 08/15/2019 |
| Last Update Date | 06/13/2022 |
| Medicare PECOS PAC ID | 7315376175 |
|---|---|
| Medicare Enrollment ID | O20200331001608 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376199273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | (* (Not Available)) | Primary |
| Provider Name | Senait Tewolde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508144189 PECOS PAC ID: 3971779539 Enrollment ID: I20120621000377 |
| Provider Name | Laura L Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164447264 PECOS PAC ID: 2668554965 Enrollment ID: I20130801000214 |
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