Individual provider · NPI-1

Rahel Admassu Ayalew, FNP

Nurse Practitioner, Psych/Mental Health · Concord, NC

NPI number1851924443
StatusActive
Last updated in NPPESJul 22, 2026

Details

NPI
1851924443
Entity type
Individual (NPI-1)
Name
Rahel Admassu Ayalew
Credential
FNP
Sex
Female
Sole proprietor
No
Enumeration date
Feb 21, 2020
Certification date
Jul 22, 2026
Last updated
Jul 22, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0808X Nurse Practitioner, Psych/Mental Health5012877NCYes
363LF0000X Nurse Practitioner, Family5012877NC
207Q00000X Family Medicine5012877NC

Practice location

1501 Zion Church Rd E
Concord, NC 28025-6827

Phone 980-440-9170

Mailing address

4812 Mesa Verde Rd
Charlotte, NC 28277-3542

Phone 919-636-0805

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