HIBRET KASSA YIFRU


Address: 102 Abbey Manor Ter, Brookeville, MD 20833-3291
Phone: 2403302374

HIBRET KASSA YIFRU (NPI# 1518599844) 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) 1518599844
Entity Type Individual
Full Name HIBRET KASSA YIFRU
Credential CRNP
Practice Address 102 Abbey Manor Ter
Brookeville
MD 20833-3291
Practice Telephone 2403302374
Mailing Telephone 2403302374
Enumeration Date 2020-02-05
Last Update Date 2020-02-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
R221019 MD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 102 ABBEY MANOR TER
City BROOKEVILLE
State MD
Zip Code 20833-3291

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NPI Name Taxonomy Address Enumeration
1790844272 Karen Ann Near Internal Medicine 3300 Gregg Road, Brookeville, MD 20833 2006-12-08
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1629128392 Diana Lee Bunday Social Worker 21221 Georgia Ave, Brookeville, MD 20833-1135 2007-01-12
1336363803 Barry Stevan Raskin Specialist 22321 Flintridge Dr, Brookeville, MD 20833-1238 2007-04-13
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1649350109 Jill Suzanne Fonda Allen Genetic Counselor, MS 21310 Ridgecroft Dr, Brookeville, MD 20833-1818 2006-10-17
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1558616698 William W Nyambi Home Health Aide 21504 New Hampshire Ave, Brookeville, MD 20833-1841 2012-07-15
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

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Competitor

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City BROOKEVILLE
Zip Code 20833

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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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