Individual provider · Type 1 NPI

Bisrat Ysmashewa Tadesse, AGPCNP-C

Nurse Practitioner · Greenwood Village, CO

NPI number 1386563666 Active

Practice location

9250 E Costilla Ave Ste 540
Greenwood Village, CO 80112-3648

Call (720) 325-8699 Map

Mailing address

1633 S Andes Cir
Aurora, CO 80017-4573

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAG07260071 (CO)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1386563666

Bisrat Ysmashewa Tadesse, AGPCNP-C's National Provider Identifier is 1386563666, issued on Jul 13, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Greenwood Village, CO. The record was last updated on Aug 3, 2026.