Individual provider · Type 1 NPI

Mahlet Mekonnen

Family Nurse Practitioner · Decatur, GA

NPI number 1861812349 Active

Practice location

445 Winn Way
Decatur, GA 30030-1707

Fax (404) 297-7203

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN228653 (GA)

Family Nurse Practitioner: Definition to come...

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About NPI 1861812349

Mahlet Mekonnen's National Provider Identifier is 1861812349, issued on Apr 23, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Decatur, GA. The record was last updated on Apr 23, 2014.