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KIDEST MEZGEBE GEBREAMANUEL AGACNP NPI 1689365785


NPI Information

NPI: 1689365785
Provider Name: KIDEST MEZGEBE GEBREAMANUEL, AGACNP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
701 S NEDDERMAN DR
ARLINGTON, TX
ZIP 76019
Phone: (817) 272-2011
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Kidest Mezgebe Gebreamanuel, AGACNP is an acute care nurse practitioner in Arlington, TX with 2 years of experience. Kidest Mezgebe Gebreamanuel, AGACNP NPI is 1689365785. 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:

701 S NEDDERMAN DR
ARLINGTON, TX
ZIP 76019-800
Phone: (817) 272-2011

The NPI 1689365785 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/18/2023 and was last updated on 5/18/2023.


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
1363LA2100XNurse PractitionerAcute Care1113114TEXASYes

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: 5/5/2024

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