Individual provider · Type 1 NPI

Fasica Wondifraw

Family Nurse Practitioner · Allen, TX

NPI number 1245798214 Active

Practice location

1218 W Mcdermott Dr
Allen, TX 75013-6304

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAP139847 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1245798214

Fasica Wondifraw's National Provider Identifier is 1245798214, issued on Mar 7, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Allen, TX. The record was last updated on Feb 21, 2020.