Individual
MR. BISRAT YSMASHEWA TADESSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGPCNP-C
Contact information
Practice address
9250 E COSTILLA AVE STE 540, GREENWOOD VILLAGE, CO 80112-3648
(720) 325-8699
Mailing address
1633 S ANDES CIR, AURORA, CO 80017-4573
(720) 325-8699
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AG07260071
CO
Other
Enumeration date
07/13/2026
Last updated
08/03/2026
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