IndividualActive
Abayneh Weldetsadik, NURSE PRACTITIONER
NPI 1790011591 · Family Nurse Practitioner · Herndon, VA
Provider details
- NPI number
- 1790011591
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NURSE PRACTITIONER
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0024184586 (VA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1062 Elden St
Herndon, VA 20170-3803
Phone: (703) 471-7000
Approximate (ZIP-level) locationGet directions
Mailing address
43608 White Cap Ter
Chantilly, VA 20152-5802
Additional practice locations (1)
- 95 Fort Hill TerApt # 4Rochester, NY 14620-4228Phone: (585) 750-7024
Registry dates
- Enumerated
- 2009-10-29
- Last updated
- 2022-07-29
- Certified
- 2022-07-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.