Individual
EBBA TEREFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3901 E LIVINGSTON AVE, COLUMBUS, OH 43227-2302
(614) 284-7084
Mailing address
4081 APPLELEAF DR, COLUMBUS, OH 43230-6356
(614) 284-7084
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0031381
OH
Other
Enumeration date
05/24/2022
Last updated
04/18/2024
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