BEREDU ABRAHAM GELETO ARNP STUDENT NPI 1700348042

NPI Information

NPI: 1700348042
Provider Name: BEREDU ABRAHAM GELETO, ARNP STUDENT
Classification: Nurse Practitioner - 363LS0200X
Entity Type: Individual

Specialization: School

Address:
12607 SE MILL PLAIN BLVD
VANCOUVER, WA
ZIP 98684
Phone: (180) 081-3200
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Beredu Abraham Geleto, ARNP STUDENT is a school nurse practitioner in Vancouver, WA. Beredu Abraham Geleto, ARNP STUDENT NPI is 1700348042. 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:

12607 SE MILL PLAIN BLVD
VANCOUVER, WA
ZIP 98684-055
Phone: (180) 081-3200

The enumeration date for this NPI number is 4/4/2019 and was last updated on 4/4/2019.

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	163WM0705X	Registered Nurse	Medical-Surgical	201806827RN	OREGON	No
2	163WM0705X	Registered Nurse	Medical-Surgical	RN60476417	WASHINGTON	No
3	363LS0200X	Nurse Practitioner	School	RN60476417	WASHINGTON	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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