Individual
LUWAM TESFAYE AMEDIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1575 SPRING WATER PT, COLO SPGS, CO 80908-5277
(913) 980-2546
Mailing address
8249 WILLEY PICKET DR, COLORADO SPRINGS, CO 80908-5738
(913) 980-2546
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2025039256
CO
Other
Enumeration date
10/20/2025
Last updated
10/20/2025
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