Most Relevant Information
Provider Data
NPI Number: | 1003482662 |
Provider Name: | DESTA ALEMU ABATE |
Entity Type: | Individual |
Taxonomy Code: | 363LG0600X |
Specialty: | Nurse Practitioner |
License Number: | ABAT-Z1BME |
Most Important Dates
Enumeration Date: | 06/03/2021 |
Last Updated: | 06/03/2021 |
Provider Practice Location
319 N GRAHAM HOPEDALE RD
BURLINGTON
NC
272172990
Practice Location Phone/Fax
Phone: | 3365709800 |
Fax: |
Provider Mailing Location
319 N GRAHAM HOPEDALE RD
BURLINGTON
NC
272172990
Provider Mailing Phone/Fax
Phone: | 3365709800 |
Fax: |