Individual
RUTH BERHANE TESFALIDET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Taxonomy
Speciality
Code
Description
License number
State
163WG0100X
Gastroenterology Registered Nurse
301712
NC
363LA2200X
Adult Health Nurse Practitioner
Primary
5020720
NC
363LG0600X
Gerontology Nurse Practitioner
5020720
NC
Other
Enumeration date
02/16/2024
Last updated
09/11/2024
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