Individual provider · Type 1 NPI

Santa Badeg Sisay

Family Nurse Practitioner · Irving, TX

NPI number 1033857073 Active

Practice location

4545 Fuller Dr Ste 325
Irving, TX 75038-6530

Fax (972) 870-5512

Mailing address

1605 E Wells Branch Pkwy
Pflugerville, TX 78660-3993

Other practice locations

  • 1605 E Wells Branch Pkwy, Pflugerville, TX 78660-3993 · (571) 235-9932

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X1088909 (TX)
Family Nurse Practitioner Primary 363LF0000X2021160672 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1033857073

Santa Badeg Sisay's National Provider Identifier is 1033857073, issued on May 20, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Irving, TX. The record was last updated on Jul 18, 2025.