Individual provider · Type 1 NPI
Etenesh Ketema
Psychiatric/Mental Health Nurse Practitioner · Seattle, WA
NPI number
1699629063
Active
Practice location
4220 S Othello St Unit 639
Seattle, WA 98118-4095
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | RN60863124 (WA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1699629063
Etenesh Ketema's National Provider Identifier is 1699629063, issued on Feb 23, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Seattle, WA. The record was last updated on Feb 23, 2026.