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Zion Ketema Desta
Psychiatric/Mental Health Nurse Practitioner in Frisco, Texas
NPI 1417673658

Zion Ketema Desta is a Psychiatric/Mental Health Nurse Practitioner based in Grand Prairie, TX and is specialized in Psychiatric/Mental Health. Zion Ketema Desta practices in Frisco, TX. The NPI Number for Zion Ketema Desta is 1417673658 and holds a License No. 2022064183 (Texas).

The current practice location address for Zion Ketema Desta is 11330 Legacy Dr Ste 103, Frisco, TX and can be reached out via phone at 469-777-4691.

Location: 11330 Legacy Dr Ste 103, Frisco, TX, 75052-2533
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417673658
Provider Name
Zion Ketema Desta
Credential
Provider Entity Type
Individual
Gender
Female
Address
11330 Legacy Dr Ste 103, Frisco, TX, 75052-2533
Phone Number
469-777-4691
Fax Number
Provider Enumeration Date
10/19/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11330 Legacy Dr Ste 103
City
Frisco
State
Texas
Zip
75033-1210
Phone Number
469-777-4691
Fax Number
person
Provider Business Mailing Address Details
Address
11330 Legacy Dr Ste 103
City
Frisco
State
Texas
Zip
75033-1210
Phone Number
469-777-4691
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
2022064183 (Texas)
Definition
Definition to come...
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