Individual provider · NPI-1

Sosina Abebu

Nurse Practitioner, Primary Care · Richardson, TX

NPI number1417728817
StatusActive
Last updated in NPPESJan 15, 2024

Details

NPI
1417728817
Entity type
Individual (NPI-1)
Name
Sosina Abebu
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 15, 2024
Certification date
Jan 12, 2024
Last updated
Jan 15, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP2300X Nurse Practitioner, Primary Care1131523TXYes

Practice location

2135 Buckingham Rd
Richardson, TX 75081-5459

Phone 972-925-0893

Mailing address

2135 Buckingham Rd
Richardson, TX 75081-5459

Phone 972-925-0893

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