Provider Demographics
NPI:1558240655
Name:REDA, FREWEYN WELDEGEBRIEL
Entity type:Individual
Prefix:
First Name:FREWEYN
Middle Name:WELDEGEBRIEL
Last Name:REDA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:626 SEATON SQUARE DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-4500
Mailing Address - Country:US
Mailing Address - Phone:571-283-4556
Mailing Address - Fax:
Practice Address - Street 1:626 SEATON SQUARE DR
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-4500
Practice Address - Country:US
Practice Address - Phone:571-283-4556
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-02
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA200005345374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide