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NPI Code Detail

MEDICARE: WOINSHET TESFAYE NP

MEDICARE:   WOINSHET  TESFAYE  NP
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
1363LF0000XFamily Nurse PractitionerRN260621GA

General Provider Information

NPI Number : 1437673654
Entity Type Code : Individual
Provider Name (Legal Business Name) : WOINSHET TESFAYE NP
Provider Business Mailing Address
First Line : 2994 ATLANTA RD SE
Second Line :
City : SMYRNA
State : GA
Zip : 30080-3655
Country : US
Telephone Number : 866-389-2727
Fax Number :
Provider Business Practice Location Address
First Line : 2994 ATLANTA RD SE
Second Line :
City : SMYRNA
State : GA
Zip : 30080-3655
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2017
Last Update Date : 05/13/2026

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Directions to “ WOINSHET TESFAYE NP” Practice Location

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