Individual provider · Type 1 NPI

Demitu Baissa-Tesfahun

Family Nurse Practitioner · Elk River, MN

NPI number 1477287282 Active

Practice location

14181 Business Center Dr NW
Elk River, MN 55330-4654

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X9305 (MN)

Family Nurse Practitioner: Definition to come...

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About NPI 1477287282

Demitu Baissa-Tesfahun's National Provider Identifier is 1477287282, issued on Jul 16, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Elk River, MN. The record was last updated on Oct 17, 2022.