MAHELET MAMO NPI 1881132439

NPI Information

  • NPI: 1881132439
  • Provider Name: MAHELET MAMO
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2374 BATTERY HILL CIR
    WOODBRIDGE, VA
    ZIP 22191
  • Phone: (703) 338-9490

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NPI Details

Mahelet Mamo is a family nurse practitioner in Woodbridge, VA. Mahelet Mamo NPI is 1881132439. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2374 BATTERY HILL CIR
WOODBRIDGE, VA
ZIP 22191-514
Phone: (703) 338-9490

The NPI 1881132439 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/3/2017 and was last updated on 2/3/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily0024174476VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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