Provider Demographics
NPI:1538972906
Name:WOLDEMICHAEL, ELIZABETH NEGATU
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:NEGATU
Last Name:WOLDEMICHAEL
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 1:1140 N CAPITOL ST NW APT 318
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-7554
Mailing Address - Country:US
Mailing Address - Phone:202-658-2611
Mailing Address - Fax:
Practice Address - Street 1:1140 N CAPITOL ST NW APT 318
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-7554
Practice Address - Country:US
Practice Address - Phone:202-658-2611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-29
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant