Provider Demographics
NPI:1285725507
Name:APATOV, ELLEN DIROMA (APRNBC)
Entity type:Individual
Prefix:MS
First Name:ELLEN
Middle Name:DIROMA
Last Name:APATOV
Suffix:
Gender:F
Credentials:APRNBC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7111 EDGEVALE ST
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-5907
Mailing Address - Country:US
Mailing Address - Phone:301-986-1088
Mailing Address - Fax:
Practice Address - Street 1:6900 GEORGIA AVE
Practice Address - Street 2:WALTER REED ARMY MEDICAL CENTER
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20307
Practice Address - Country:US
Practice Address - Phone:202-782-5955
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDRI129632163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health