Addis Abera
Licensed Practical Nurse in Phoenix, Arizona
1568839736- Practice location
- 3822 E Windsong Dr, Phoenix, AZ 85048-7915
- Phone
- 480-753-4479
- Fax
- —
- Last updated
- August 24, 2015
Addis Abera is a Licensed Practical Nurse based in Phoenix, AZ. The NPI number for Addis Abera is 1568839736 and holds license No. LP049629 (AZ). The current practice location address is 3822 E Windsong Dr, Phoenix, AZ 85048-7915 and the office can be reached by phone at 480-753-4479. The NPI was assigned on August 24, 2015 and the record was last updated in NPPES on August 24, 2015.
●Provider Profile Details
- NPI Number
- 1568839736
- Provider Name
- Addis Abera
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Female
- Primary Taxonomy
- Licensed Practical Nurse · 164W00000X
- Sole Proprietor
- Yes
- Enumeration Date
- August 24, 2015
- Last Update Date
- August 24, 2015
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 3822 E Windsong Dr
Phoenix, AZ 85048-7915 - City
- Phoenix
- State
- Arizona
- ZIP
- 85048-7915
- Country
- US
- Phone Number
- 480-753-4479
✉Business Mailing Address
- Address
- 3822 E Windsong Dr
Phoenix, AZ 85048-7915 - City
- Phoenix
- State
- AZ
- ZIP
- 85048-7915
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | Yes | LP049629 | AZ |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
☉Other providers near Phoenix, AZ
View all providers in Phoenix →?Frequently Asked Questions
What is the NPI number of Addis Abera?
The NPI number of Addis Abera is 1568839736. It was assigned on August 24, 2015 and is currently active in the NPPES registry.
What is the specialty of Addis Abera?
Addis Abera is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X) and holds license No. LP049629 (AZ).
Where does Addis Abera practice?
The practice location is 3822 E Windsong Dr, Phoenix, AZ 85048-7915. The office can be reached at 480-753-4479 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1568839736 directly on the NPPES registry website at npiregistry.cms.hhs.gov.