Individual provider · Type 1 NPI

Mahider Gedamu

Acute Care Nurse Practitioner · Tyler, TX

NPI number 1033032636 Active

Practice location

1000 S Beckham Ave
Tyler, TX 75701-1908

Other practice locations

  • 700 Olympic Plaza Cir Ste 510, Tyler, TX 75701-1952 · (903) 595-6680

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X1244504 (TX)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1033032636

Mahider Gedamu's National Provider Identifier is 1033032636, issued on Jul 31, 2026. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Tyler, TX. The record was last updated on Aug 11, 2026.