Individual provider · Type 1 NPI
Tewodros Desie Gizatu, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Tacoma, WA
NPI number
1114675840
Active
Practice location
321 116th St S
Tacoma, WA 98444-5405
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN60732624 (WA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | AP61266932 (WA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1114675840
Tewodros Desie Gizatu, PMHNP's National Provider Identifier is 1114675840, issued on Mar 11, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Tacoma, WA. The record was last updated on Mar 11, 2022.