Individual provider · Type 1 NPI
Beyene Teclehaiman Kidane
Registered Nurse · Elk Grove, CA
Practice location
10114 Elise Way
Elk Grove, CA 95757-5073
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse Primary | 163W00000X | 616243 (CA) |
Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…
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About NPI 1356215941
Beyene Teclehaiman Kidane's National Provider Identifier is 1356215941, issued on Oct 6, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Elk Grove, CA. The record was last updated on Oct 6, 2025.