NEBIYU JAMAL FANTA
NPI 1013498872
Driver in Saint Paul, MN

Active since August 28, 2018
478 UNIVERSITY AVE W, SAINT PAUL, MN 55103(202) 779-8511 Get Directions Write a Review

NPPES record last updated: August 28, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nebiyu Jamal Fanta NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEBIYU JAMAL FANTA (NPI 1013498872) is an individual driver provider in Saint Paul, Minnesota, licensed in Minnesota (M153136798609) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1013498872
Entity TypeIndividualMale
Primary Taxonomy172A00000X
Provider Legal NameNEBIYU JAMAL FANTA
Location Address478 UNIVERSITY AVE WSaint Paul, MN 55103-1935
Mailing Address478 University Ave WSaint Paul, MN 55103-1935 · (202) 779-8511
Sole ProprietorYes
Enumeration DateAugust 28, 2018
NPI 1013498872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDriverOther Service Providers
Taxonomy Code172A00000X
License Licensed in MN · M153136798609
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
478 UNIVERSITY AVE W, Saint Paul, MN 55103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nebiyu Fanta's NPI number?

The NPI number for Nebiyu Fanta is 1013498872. It was assigned to this individual provider in the NPPES registry on August 28, 2018.

Where is Nebiyu Fanta located?

Nebiyu Fanta practices at 478 University Ave W, Saint Paul, MN 55103. The listed phone number is (202) 779-8511.

What is Nebiyu Fanta's specialty?

The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.

When was this NPI record last updated?

The NPPES record for Nebiyu Fanta was last updated on August 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.