Tadele Benti Dinsa
Nurse Practitioner in Saint Paul, MN. Individual provider (NPI-1).
NPI number1902257553
StatusActive
Last updated in NPPESMay 2, 2022
Details
- NPI
- 1902257553
- Entity type
- Individual (NPI-1)
- Name
- Tadele Benti Dinsa
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 24, 2016
- Certification date
- Apr 22, 2022
- Last updated
- May 2, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 9148 | MN | Yes |
| 363L00000X | Nurse Practitioner | 5012932 | NC | |
| 363LF0000X | Nurse Practitioner, Family | RN216596 | GA |
Practice location
640 Jackson StSaint Paul, MN 55101-2502
Phone 651-254-3456
Mailing address
8170 33rd Ave S # Ms 21110qBloomington, MN 55425-4516
Other practice locations
2628 Northeast Expy Ne Apt C2
Atlanta, GA 30345-2589
Atlanta, GA 30345-2589
Phone 404-956-0540
3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Winston Salem, NC 27103-3013
Phone 336-718-8383 · Fax 336-718-9622
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