Individual
AZEB KIDANE TKIKIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
55 WHITCHER ST NE STE 350, MARIETTA, GA 30060-1129
(770) 424-6893
Mailing address
150 CHESSINGTON DR, ALPHARETTA, GA 30022-4521
(678) 469-1255
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN278333
GA
363LA2200X
Adult Health Nurse Practitioner
RN278333
GA
363LG0600X
Gerontology Nurse Practitioner
RN278333
GA
Other
Enumeration date
05/19/2023
Last updated
03/25/2025
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