Individual provider · Type 1 NPI
Alegntaye Yirdaw
Primary Care Nurse Practitioner · Dallas, TX
NPI number
1659902120
Active
Practice location
2709 S Buckner Blvd
Dallas, TX 75227-6904
Mailing address
7700 Cody Ln Apt 3044
Sachse, TX 75048-6687
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | AP142463 (TX) |
| Gerontology Nurse Practitioner | 363LG0600X | AP142463 (TX) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | AP142463 (TX) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1659902120
Alegntaye Yirdaw's National Provider Identifier is 1659902120, issued on Feb 3, 2020. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Dallas, TX. The record was last updated on Feb 3, 2020.