TEDROS ABBAY ASFAHA APRN
NPI 1265132922
Nurse Practitioner - Family in Broken Arrow, OK

Active since March 09, 2023
1500 N 22ND ST, BROKEN ARROW, OK 74012(918) 640-5088 Get Directions Write a Review

NPPES record last updated: March 9, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tedros Abbay Asfaha Aprn NPPES

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

TEDROS ABBAY ASFAHA APRN (NPI 1265132922) is an individual family provider in Broken Arrow, Oklahoma, licensed in Oklahoma (F02230673) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1265132922
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameTEDROS ABBAY ASFAHACredential: APRN
Location Address1500 N 22ND STBroken Arrow, OK 74012-2319
Mailing Address1500 N 22nd StBroken Arrow, OK 74012-2319 · (918) 640-5088
Sole ProprietorNo
Enumeration DateMarch 9, 2023
NPPES CertifiedMarch 9, 2023
NPI 1265132922 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 OK · F02230673
1500 N 22ND ST, Broken Arrow, OK 74012

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 Tedros Asfaha's NPI number?

The NPI number for Tedros Asfaha is 1265132922. It was assigned to this individual provider in the NPPES registry on March 9, 2023.

Where is Tedros Asfaha located?

Tedros Asfaha practices at 1500 N 22nd St, Broken Arrow, OK 74012. The listed phone number is (918) 640-5088.

What is Tedros Asfaha's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Tedros Asfaha was last updated on March 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.