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Agea Challa Temesgen
Family Nurse Practitioner in Manassas, Virginia
NPI 1043931694

Agea Challa Temesgen is a Family Nurse Practitioner based in Glen Allen, VA and is specialized in Family. Agea Challa Temesgen practices in Manassas, VA. The NPI Number for Agea Challa Temesgen is 1043931694 and holds a License No. 0024184934 (Virginia).

The current practice location address for Agea Challa Temesgen is 9715 Liberia Ave, Manassas, VA and can be reached out via phone at 571-229-1797.

Location: 9715 Liberia Ave, Manassas, VA, 23060-9263
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043931694
Provider Name
Agea Challa Temesgen
Credential
Provider Entity Type
Individual
Gender
Female
Address
9715 Liberia Ave, Manassas, VA, 23060-9263
Phone Number
571-229-1797
Fax Number
Provider Enumeration Date
09/12/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9715 Liberia Ave
City
Manassas
State
Virginia
Zip
20110-5837
Phone Number
571-229-1797
Fax Number
person
Provider Business Mailing Address Details
Address
9715 Liberia Ave
City
Manassas
State
Virginia
Zip
20110-5837
Phone Number
571-229-1797
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
0024184934 (Virginia)
Definition
Definition to come...
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