MUSSIE FUTWI MEBRAHTU


Address: 214 Canterbury Ct, Midlothian, TX 76065-1417
Phone: 4696889765

MUSSIE FUTWI MEBRAHTU (NPI# 1861027419) 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) 1861027419
Entity Type Individual
Full Name MUSSIE FUTWI MEBRAHTU
Credential FAMILY NURSE PRAC
Practice Address 214 Canterbury Ct
Midlothian
TX 76065-1417
Practice Telephone 4696889765
Mailing Telephone 4696889765
Enumeration Date 2020-03-04
Last Update Date 2020-03-04
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP145162 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 214 CANTERBURY CT
City MIDLOTHIAN
State TX
Zip Code 76065-1417

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City MIDLOTHIAN
Zip Code 76065

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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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