Individual provider · Type 1 NPI

Manyahlishal Telahun, CRNP

Family Nurse Practitioner · Temple Hills, MD

NPI number 1811051972 Active

Practice location

6104 Old Branch Avenue
Temple Hills, MD 20748-2518

Fax (301) 702-6367

Mailing address

2101 East Jefferson Street, Ppqa Medicare Compliance Unit 6 West Attn Theresa Brook
Rockville, MD 20852-4908

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XR117862 (MD)

Family Nurse Practitioner: Definition to come...

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About NPI 1811051972

Manyahlishal Telahun, CRNP's National Provider Identifier is 1811051972, issued on Dec 21, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Temple Hills, MD. The record was last updated on Jun 3, 2021.