FAYA BAYISSA ADUGNA
NPI 1023849650
Nurse Practitioner - Family in Philadelphia, PA
Active since August 14, 2024
About Faya Bayissa Adugna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAYA BAYISSA ADUGNA (NPI 1023849650) is an individual family provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP029616) and active in the NPI registry since August 2024.
NPPES Registry Identity
NPI1023849650
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameFAYA BAYISSA ADUGNA
Location Address2502 S 78TH STPhiladelphia, PA 19153-1218
Mailing Address2502 S 78th StPhiladelphia, PA 19153-1218 · (215) 909-3948
Phone(215) 909-3948
Sole ProprietorNo
Enumeration DateAugust 14, 2024
NPPES CertifiedAugust 14, 2024
✔ NPI 1023849650 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in PA · SP029616
2502 S 78TH ST, Philadelphia, PA 19153
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023849650, enumerated as an "individual" on August 14, 2024.
The provider is located at 2502 S 78TH ST PHILADELPHIA, PA 19153 and the phone number is (215) 909-3948.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
