Provider Demographics
NPI:1225606312
Name:SAWANEH, ELIZABETH GUMA
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:GUMA
Last Name:SAWANEH
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 1:6856 EASTERN AVE NW STE 310
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20012-2170
Mailing Address - Country:US
Mailing Address - Phone:301-316-8049
Mailing Address - Fax:
Practice Address - Street 1:6856 EASTERN AVE NW STE 310
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20012-2170
Practice Address - Country:US
Practice Address - Phone:202-722-1234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-15
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA200002655374U00000X
DCNA0000607140376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No376K00000XNursing Service Related ProvidersNurse's Aide