Individual
YONAS AITENEW ADDISU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
103 VALLEY CENTER DR, STAUNTON, VA 24401-5080
(540) 332-8000
Mailing address
88 HULL HILLS LN, STAUNTON, VA 24401-5784
(540) 457-6247
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024184857
VA
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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