Individual provider · Type 1 NPI

Birhanu Derra

Psychiatric/Mental Health Nurse Practitioner · Snohomish, WA

NPI number 1043118367 Active

Practice location

5832 122nd Pl SE
Snohomish, WA 98296-8916

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XARNP.AP.70192459-NP (WA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1043118367

Birhanu Derra's National Provider Identifier is 1043118367, issued on Oct 27, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Snohomish, WA. The record was last updated on Oct 27, 2026.