Lookup NPI Numbers from the NPI Registry
NPI Profile for BETHELL ASSEFA in MOUNTLAKE TERRACE, WA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Psychiatric/Mental Health |
363LP0808X | 50 | Nurse Practitioner | |
Nurse Practitioner |
363L00000X | 50 | Nurse Practitioner | |
Student in an Organized Health Care Education/Training Program |
390200000X |
| NPI Number | 1679092704 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 09/09/2017 | |
| Last updated | 04/30/2021 - About 5 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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BETHELL ASSEFA
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BETHELL ASSEFA