Individual
TAMERAYEHU TOLLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A-GNP-C
Contact information
Practice address
400 E RED BRIDGE RD STE 207, KANSAS CITY, MO 64131-4030
(913) 681-2398
(913) 681-2416
Mailing address
400 E RED BRIDGE RD STE 207, KANSAS CITY, MO 64131-4030
(913) 681-2398
(913) 681-2416
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2023010980
MO
363LA2200X
Adult Health Nurse Practitioner
53-81975-102
KS
Other
Enumeration date
03/01/2023
Last updated
08/18/2023
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