MEDICARE: LIYU ABERA DANIEL AGACNP-BC

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	363LA2100X	Acute Care Nurse Practitioner	1236910	TX

General Provider Information

NPI Number	:	1619814571
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LIYU ABERA DANIEL AGACNP-BC

Provider Business Mailing Address
First Line	:	PO BOX 2523
Second Line	:
City	:	ALLEN
State	:	TX
Zip	:	75013-0063
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	PO BOX 2523
Second Line	:
City	:	ALLEN
State	:	TX
Zip	:	75013-0063
Country	:	US
Telephone Number	:	214-824-3333
Fax Number	:	214-736-9414

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

Provider Enumeration Date	:	04/30/2026
Last Update Date	:	06/01/2026

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