Individual
DR. TILAHUN MEKONNEN GOSHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP (DNP)
Contact information
Practice address
417 N 11TH ST, RICHMOND, VA 23298
(804) 828-7748
(804) 827-0285
Mailing address
PO BOX 91734, RICHMOND, VA 23291-9734
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024175864
VA
Other
Enumeration date
08/08/2018
Last updated
11/29/2023
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