Provider Demographics
NPI:1992262307
Name:BEIN, ELSA H
Entity type:Individual
Prefix:
First Name:ELSA
Middle Name:H
Last Name:BEIN
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 1:5640 TOWER HILL CIR
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22315-5590
Mailing Address - Country:US
Mailing Address - Phone:202-372-6690
Mailing Address - Fax:
Practice Address - Street 1:5640 TOWER HILL CIR
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22315-5590
Practice Address - Country:US
Practice Address - Phone:202-372-6690
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-22
Last Update Date:2019-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide