Individual
HERMELA DANIEL HAILEYESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
14655 GALAXIE AVE, APPLE VALLEY, MN 55124-8602
(952) 594-2060
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
9715
MN
363LF0000X
Family Nurse Practitioner
Primary
9715
MN
Other
Enumeration date
11/16/2022
Last updated
12/09/2022
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