Individual
ISRAEL TARIKU HABTAMU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
196041
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
196041
APRN
GA
01
—
A0514004
AMERICAN ACADEMY OF NURSE PRACTITIONER
—
Enumeration date
03/05/2015
Last updated
03/05/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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