Individual
BETHELEHEM A MENGSTU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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