Most Relevant Information
Provider Data
| NPI Number: | 1003506452 |
| Provider Name: | TEGBAR ADDISU ASNAKE |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | RN00174329 |
Most Important Dates
| Enumeration Date: | 05/09/2023 |
| Last Updated: | 05/09/2023 |
Provider Practice Location
15917 55TH PL W
EDMONDS
WA
980264747
Practice Location Phone/Fax
| Phone: | 4252460207 |
| Fax: |
Provider Mailing Location
15917 55TH PL W
EDMONDS
WA
980264747
Provider Mailing Phone/Fax
| Phone: | 4252460207 |
| Fax: |