Individual provider · Type 1 NPI

Bethelem Wondimu Bedasso

Psychiatric/Mental Health Nurse Practitioner · Shawnee, KS

NPI number 1073397642 Active

Practice location

7450 Quivira Rd
Shawnee, KS 66216-3526

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X53-82444-092 (KS)

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

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About NPI 1073397642

Bethelem Wondimu Bedasso's National Provider Identifier is 1073397642, issued on Aug 23, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Shawnee, KS. The record was last updated on Aug 23, 2023.