Individual
BLEN TESFAYESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27713 LORAIN RD, NORTH OLMSTED, OH 44070-4019
(216) 280-0697
Mailing address
27713 LORAIN RD, NORTH OLMSTED, OH 44070-4019
(216) 280-0697
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
773629
TX
363LF0000X
Family Nurse Practitioner
Primary
024605
OH
363LF0000X
Family Nurse Practitioner
AP118382
TX
Other
Enumeration date
11/13/2009
Last updated
09/02/2025
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