Individual
ADHANOM HABTESLASSIE ASGEDOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2717 NEUSE BLVD, NEW BERN, NC 28562-2840
(252) 514-9888
(252) 514-2881
Mailing address
2717 NEUSE BLVD, NEW BERN, NC 28562-2840
(252) 514-9888
(252) 514-2881
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
305207
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5023342
NC
Other
Enumeration date
09/05/2025
Last updated
01/12/2026
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