Individual provider · NPI-1

Bethlehem Addis, NP

Nurse Practitioner, Family · Bethesda, MD

NPI number1417445107
StatusActive
Last updated in NPPESMay 27, 2025

Details

NPI
1417445107
Entity type
Individual (NPI-1)
Name
Bethlehem Addis
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Apr 27, 2018
Certification date
May 27, 2025
Last updated
May 27, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyR203814MDYes

Practice location

6410 Rockledge Dr Ste 503
Bethesda, MD 20817-7822

Phone 301-530-1700

Mailing address

11105 Flanagan Ln
Germantown, MD 20876-1748

Phone 240-543-1385

Other practice locations

7580 Buckingham Blvd Ste 110
Hanover, MD 21076-3208

Phone 410-760-9400

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