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AEDEN GHEBRESELASSIE CRNP
NPI 1093051237
Nurse Practitioner - Family in Mc Lean, VA

Active since December 17, 2012
1680 CAPITAL ONE DR, MC LEAN, VA 22102(703) 720-1290(703) 720-1291 Get Directions Write a Review

NPPES record last updated: November 17, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Aeden Ghebreselassie Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AEDEN GHEBRESELASSIE CRNP (NPI 1093051237) is an individual family provider in Mc Lean, Virginia, licensed in Virginia (0024174118) and active in the NPI registry since December 2012.

NPPES Registry Identity

NPI1093051237
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAEDEN GHEBRESELASSIECredential: CRNP
Location Address1680 CAPITAL ONE DRMc Lean, VA 22102-3407
Mailing Address1680 Capital One DrMc Lean, VA 22102-3407 · (703) 720-1291
Phone(703) 720-1290
Fax(703) 720-1291
Sole ProprietorNo
Enumeration DateDecember 17, 2012
Last NPPES UpdateNovember 17, 2016
✔ NPI 1093051237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in VA · 0024174118
1680 CAPITAL ONE DR, Mc Lean, VA 22102
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. SUSAN K SLYE NP-C
Nurse Practitioner (Family)
1680 CAPITAL ONE DR
MC LEAN, VA 22102
Fairfax County (703) 720-1290
DR. PRAVEEN JASPAL M.D
Internal Medicine
1680 CAPITAL ONE DR
MC LEAN, VA 22102
Fairfax County (703) 720-1290
PREMISE HEALTH OF VIRGINIA MEDICAL PC
Clinic/Center (Urgent Care)
1680 CAPITAL ONE DR
MC LEAN, VA 22102
Fairfax County (703) 720-1290

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Aeden Ghebreselassie's NPI number?

The NPI number for Aeden Ghebreselassie is 1093051237. It was assigned to this individual provider in the NPPES registry on December 17, 2012.

Where is Aeden Ghebreselassie located?

Aeden Ghebreselassie practices at 1680 Capital One Dr, Mc Lean, VA 22102. The listed phone number is (703) 720-1290.

What is Aeden Ghebreselassie's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Aeden Ghebreselassie was last updated on November 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.