Individual provider · Type 1 NPI
Luladay W. Tebeje, ACNP
Acute Care Nurse Practitioner · Detroit, MI
NPI number
1790025658
Active
Practice location
261 Mack Ave
Detroit, MI 48201-2417
Mailing address
19144 Red Oak Ln
Brownstown, MI 48193-8802
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 4704258722 (MI) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1790025658
Luladay W. Tebeje, ACNP's National Provider Identifier is 1790025658, issued on Feb 28, 2013. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Detroit, MI. The record was last updated on Feb 28, 2013.