Individual
KIDEST MEZGEBE GEBREAMANUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
701 S NEDDERMAN DR, ARLINGTON, TX 76019-1800
(817) 272-2011
Mailing address
701 S NEDDERMAN DR, ARLINGTON, TX 76019-9800
(817) 272-2011
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1113114
TX
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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