ALEGNTAYE YIRDAW NPI 1659902120

NPI Information

NPI: 1659902120
Provider Name: ALEGNTAYE YIRDAW
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

Address:
2709 S BUCKNER BLVD
DALLAS, TX
ZIP 75227
Phone: (214) 388-1100
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Alegntaye Yirdaw is a primary care nurse practitioner in Dallas, TX. Alegntaye Yirdaw NPI is 1659902120. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2709 S BUCKNER BLVD
DALLAS, TX
ZIP 75227-904
Phone: (214) 388-1100

The enumeration date for this NPI number is 2/3/2020 and was last updated on 2/3/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	AP142463	TEXAS	No
2	363LG0600X	Nurse Practitioner	Gerontology	AP142463	TEXAS	No
3	363LP2300X	Nurse Practitioner	Primary Care	AP142463	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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