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Contact Information

EYERUSALEM D ABDETA, NURSE PRACTITIONER
8268 MINER ST
GREENBELT, MD20770
 Phone: 612-244-9329
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for EYERUSALEM D ABDETA · (Female)

NPI # 1386450583
Status Active
Credentials NURSE PRACTITIONER
Entity Individual
Enumeration date 12/04/2024
Last updated 12/04/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MD License # 2024054913
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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