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BETHELHEM MEZGEBE GEBREAMANUEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
2600 MARBLE AVE NE, ALBUQUERQUE, NM 87106-2058
(505) 272-2800
Mailing address
2600 MARBLE AVE NE, ALBUQUERQUE, NM 87106-2058
(505) 272-2800

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
1116349
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
79299
NM

Other

Enumeration date
01/24/2024
Last updated
09/24/2024
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