Individual
TENAYE WOLDESILASIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1828 S 260TH ST, DES MOINES, WA 98198-9062
(206) 854-7243
Mailing address
1828 S 260TH ST, DES MOINES, WA 98198-9062
(206) 854-7243
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.61296662
WA
164W00000X
Licensed Practical Nurse
Primary
LP60838611
WA
Other
Enumeration date
02/08/2021
Last updated
07/11/2026
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