Individual provider · Type 1 NPI

Aden Abate Desta

Family Nurse Practitioner · Austell, GA

NPI number 1265136808 Active

Practice location

3950 Austell Rd
Austell, GA 30106-1121

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X283567 (GA)

Family Nurse Practitioner: Definition to come...

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About NPI 1265136808

Aden Abate Desta's National Provider Identifier is 1265136808, issued on Mar 28, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Austell, GA. The record was last updated on Mar 28, 2023.