Individual
BETHELEHEM A MENGSTU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4508 FLOWER GARDEN DR, NEW ALBANY, OH 43054-9035
(614) 625-1909
Mailing address
4508 FLOWER GARDEN DR, NEW ALBANY, OH 43054-9035
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0029505
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
000000
—
Enumeration date
01/19/2023
Last updated
01/19/2023
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