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DR. TEWODROS DESIE GIZATU PMHNP
NPI 1114675840
Nurse Practitioner - Psychiatric/Mental Health in Tacoma, WA

Active since March 11, 2022
321 116TH ST S, TACOMA, WA 98444(253) 537-3022 Get Directions Write a Review

NPPES record last updated: March 11, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Tewodros Desie Gizatu Pmhnp NPPES

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

DR. TEWODROS DESIE GIZATU PMHNP (NPI 1114675840) is an individual psychiatric/mental health provider in Tacoma, Washington, licensed in Washington (AP61266932) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1114675840
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameDR. TEWODROS DESIE GIZATUCredential: PMHNP
Location Address321 116TH ST STacoma, WA 98444-5405
Mailing Address321 116th St STacoma, WA 98444-5405 · (253) 537-3022
Phone(253) 537-3022
Sole ProprietorYes
Enumeration DateMarch 11, 2022
NPPES CertifiedMarch 11, 2022
✔ NPI 1114675840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in WA · AP61266932
Also ListedRegistered NurseTaxonomy 163W00000X · License RN60732624 (WA)
321 116TH ST S, Tacoma, WA 98444
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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 Tewodros Gizatu's NPI number?

The NPI number for Tewodros Gizatu is 1114675840. It was assigned to this individual provider in the NPPES registry on March 11, 2022.

Where is Tewodros Gizatu located?

Tewodros Gizatu practices at 321 116th St S, Tacoma, WA 98444. The listed phone number is (253) 537-3022.

What is Tewodros Gizatu's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Tewodros Gizatu was last updated on March 11, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.