Individual
ALEMU TAFESSE MENGISTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
201 N EUGENE ST, GREENSBORO, NC 27401-2221
(336) 676-6840
Mailing address
201 N EUGENE ST, GREENSBORO, NC 27401-2221
(336) 676-6840
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5007278
NC
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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