Provider Demographics
NPI:1174318463
Name:NIGUSE, ALEM ZERIHUNE
Entity type:Individual
Prefix:
First Name:ALEM
Middle Name:ZERIHUNE
Last Name:NIGUSE
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 1:704 KENNEBEC AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912-3813
Mailing Address - Country:US
Mailing Address - Phone:703-679-0058
Mailing Address - Fax:
Practice Address - Street 1:704 KENNEBEC AVE APT 1
Practice Address - Street 2:
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-3813
Practice Address - Country:US
Practice Address - Phone:703-679-0058
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA200004806374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide