Provider Demographics
NPI:1528310778
Name:WOLDEYES ASRAT, FIREHIWOT
Entity type:Individual
Prefix:
First Name:FIREHIWOT
Middle Name:
Last Name:WOLDEYES ASRAT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:N/A
Other - Middle Name:N/A
Other - Last Name:N/A
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:HHA
Mailing Address - Street 1:563 WILSON BRIDGE DR
Mailing Address - Street 2:#C2
Mailing Address - City:OXON HILL
Mailing Address - State:MD
Mailing Address - Zip Code:20745-1809
Mailing Address - Country:US
Mailing Address - Phone:202-758-7146
Mailing Address - Fax:
Practice Address - Street 1:563 WILSON BRIDGE DR
Practice Address - Street 2:#C2
Practice Address - City:OXON HILL
Practice Address - State:MD
Practice Address - Zip Code:20745-1809
Practice Address - Country:US
Practice Address - Phone:202-758-7146
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-12
Last Update Date:2012-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide