Individual
NIGIST MERSHA BERHANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
4105 WASKOM DR, PLANO, TX 75024-7079
(214) 405-6396
Mailing address
4105 WASKOM DR, PLANO, TX 75024-7079
(214) 405-6396
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP128652
TX
363LG0600X
Gerontology Nurse Practitioner
AP128652
TX
Other
Enumeration date
07/27/2015
Last updated
05/04/2023
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