Individual
TIRSIT GEBRESENBET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
651 W COOLIDGE ST, PHOENIX, AZ 85013
(602) 248-0550
(602) 248-0557
Mailing address
9843 W KEYSER DR, PEORIA, AZ 85383-2913
(602) 373-5555
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP10518
AZ
363LP2300X
Primary Care Nurse Practitioner
AP10518
AZ
Other
Enumeration date
09/12/2017
Last updated
06/16/2021
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