Individual provider · NPI-1

Lelisse Abate

Nurse Practitioner, Gerontology · Washington, DC

NPI number1629523337
StatusActive
Last updated in NPPESAug 23, 2016

Details

NPI
1629523337
Entity type
Individual (NPI-1)
Name
Lelisse Abate
Sex
Female
Sole proprietor
No
Enumeration date
Aug 23, 2016
Last updated
Aug 23, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LG0600X Nurse Practitioner, GerontologyRN1003559DCYes

Practice location

50 Irving St Nw
Washington, DC 20422-0001

Phone 240-461-9199

Mailing address

6909 Mayfair Rd
Laurel, MD 20707-5236

Phone 240-461-9199

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