Individual
NUNIYAT DANIEL ABEBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 GRANDVIEW DR, SUN PRAIRIE, WI 53590-1209
(608) 800-4487
Mailing address
101 GRANDVIEW DR, SUN PRAIRIE, WI 53590-1209
(608) 800-4487
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP54515
MD
Other
Enumeration date
07/09/2021
Last updated
07/09/2021
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