Provider Demographics
NPI:1720680135
Name:MERHAZION, ASELET YOHANNES
Entity type:Individual
Prefix:
First Name:ASELET
Middle Name:YOHANNES
Last Name:MERHAZION
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 1:2400 S GLEBE RD APT 127
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22206-2551
Mailing Address - Country:US
Mailing Address - Phone:215-900-3866
Mailing Address - Fax:
Practice Address - Street 1:2400 S GLEBE RD APT 127
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22206-2551
Practice Address - Country:US
Practice Address - Phone:215-900-3866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-10
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN1034595163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse