MEDICARE: FEVEN SOLOMON AREGAY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LS0200X	School Nurse Practitioner	NA	GA

General Provider Information

NPI Number	:	1144175019
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FEVEN SOLOMON AREGAY

Provider Business Mailing Address
First Line	:	230 BILL KENNEDY WAY SE APT B374
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30316-7216
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	230 BILL KENNEDY WAY SE APT B374
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30316-7216
Country	:	US
Telephone Number	:	605-360-9496
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/04/2026
Last Update Date	:	03/04/2026

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