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Individual

SELAM TEKIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
7130 MINSTREL WAY STE 120B, COLUMBIA, MD 21045-5329
(443) 862-8249
Mailing address
1121 ANNAPOLIS RD STE 106, ODENTON, MD 21113-1633
(443) 862-8249

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
L1-0043098
DE
163W00000X
Registered Nurse
RN642929
PA
363L00000X
Nurse Practitioner
R219103
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R219103
MD

Other

Enumeration date
08/16/2013
Last updated
04/06/2024
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