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Individual
GHIRMAY HAILE
Active
Individual
GHIRMAY HAILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, PMHNP - BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-80088
NM
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
55118
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32474385
—
NM
Enumeration date
12/18/2018
Last updated
10/28/2021
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