Individual
SELAMAWIT KIFLEYESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-3000
Mailing address
907 SAINT PAUL AVE APT 1, SAINT PAUL, MN 55116-2068
(651) 690-7699
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
A0811028
MN
363LG0600X
Gerontology Nurse Practitioner
G0811008
MN
Other
Enumeration date
12/28/2011
Last updated
12/31/2011
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