ADUGNA WELDEMEDHIN


Address: 1903 Fountain Spray Dr, Wylie, TX 75098-8051
Phone: 2674716446

ADUGNA WELDEMEDHIN (NPI# 1407495260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407495260
Entity Type Individual
Full Name ADUGNA WELDEMEDHIN
Practice Address 1903 Fountain Spray Dr
Wylie
TX 75098-8051
Practice Telephone 2674716446
Mailing Telephone 2674716446
Enumeration Date 2019-12-26
Last Update Date 2019-12-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
AP144301 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1903 FOUNTAIN SPRAY DR
City WYLIE
State TX
Zip Code 75098-8051

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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154976538 Lori B Spors Nurse Practitioner 200 Carriage Trl, Wylie, TX 75098-8248 2019-08-02
1730646464 Geraldine Nneka Okpara Nurse Practitioner 2115 Dewsbury Dr, Wylie, TX 75098-7432 2019-02-28

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Competitor

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City WYLIE
Zip Code 75098

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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