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Demitu Baissa-tesfahun
Family Nurse Practitioner in Elk River, Minnesota
NPI 1477287282

Demitu Baissa-tesfahun is a Family Nurse Practitioner based in Minneapolis, MN and is specialized in Family. Demitu Baissa-tesfahun practices in Elk River, MN. The NPI Number for Demitu Baissa-tesfahun is 1477287282 and holds a License No. 9305 (Minnesota).

The current practice location address for Demitu Baissa-tesfahun is 14181 Business Center Dr Nw, Elk River, MN and can be reached out via phone at 763-236-0500.

Location: 14181 Business Center Dr Nw, Elk River, MN, 55407-1321
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477287282
Provider Name
Demitu Baissa-tesfahun
Credential
Provider Entity Type
Individual
Gender
Female
Address
14181 Business Center Dr Nw, Elk River, MN, 55407-1321
Phone Number
763-236-0500
Fax Number
Provider Enumeration Date
07/16/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14181 Business Center Dr Nw
City
Elk River
State
Minnesota
Zip
55330-4654
Phone Number
763-236-0500
Fax Number
person
Provider Business Mailing Address Details
Address
14181 Business Center Dr Nw
City
Elk River
State
Minnesota
Zip
55330-4654
Phone Number
763-236-0500
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
9305 (Minnesota)
Definition
Definition to come...
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