Individual
FEKADU TADESE AYANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2800 CLIFF RD E STE 250, BURNSVILLE, MN 55337-3396
(612) 423-7099
Mailing address
2800 CLIFF RD E STE 250, BURNSVILLE, MN 55337-3396
(612) 423-7099
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
221954-3
MN
Other
Enumeration date
04/11/2025
Last updated
05/05/2025
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