MEDICARE: MEKURIA ZEMEDE

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	104100000X	Social Worker

General Provider Information

NPI Number	:	1801435094
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEKURIA ZEMEDE

Provider Business Mailing Address
First Line	:	1527 GRAND AVE
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55105-2229
Country	:	US
Telephone Number	:	651-502-3204
Fax Number	:

Provider Business Practice Location Address
First Line	:	2270 FORD PKWY
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55116-3337
Country	:	US
Telephone Number	:	888-863-0044
Fax Number	:

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

Provider Enumeration Date	:	01/06/2020
Last Update Date	:	02/05/2025

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Directions to “ MEKURIA ZEMEDE ” Practice Location

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