Individual provider · Type 1 NPI

Agea Challa Temesgen

Family Nurse Practitioner · Manassas, VA

NPI number 1043931694 Active

Practice location

9715 Liberia Ave
Manassas, VA 20110-5837

Mailing address

5000 Cox Rd
Glen Allen, VA 23060-9263

Other practice locations

  • 11840 Coloriver Rd, Manassas, VA 20112-8603 · (703) 624-7383

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X0024184934 (VA)

Family Nurse Practitioner: Definition to come...

10 other providers at this address

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About NPI 1043931694

Agea Challa Temesgen's National Provider Identifier is 1043931694, issued on Sep 12, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Manassas, VA. The record was last updated on Nov 16, 2022.