ADDIS ABERA
NPI 1568839736
Licensed Practical Nurse in Phoenix, AZ

Q: What is Addis Abera's NPI number?

The NPI number for Addis Abera is 1568839736. It was assigned to this individual provider in the NPPES registry on August 24, 2015.

Q: What is Addis Abera's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Addis Abera was last updated on August 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since August 24, 2015

3822 E WINDSONG DR, PHOENIX, AZ 85048(480) 753-4479 Get Directions Write a Review

NPPES record last updated: August 24, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Addis Abera NPPES

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

ADDIS ABERA (NPI 1568839736) is an individual licensed practical nurse in Phoenix, Arizona, licensed in Arizona (LP049629) and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1568839736

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameADDIS ABERA

Location Address3822 E WINDSONG DRPhoenix, AZ 85048-7915

Mailing Address3822 E Windsong DrPhoenix, AZ 85048-7915

Phone(480) 753-4479

Sole ProprietorYes

Enumeration DateAugust 24, 2015

✔ NPI 1568839736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in AZ · LP049629

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

3822 E WINDSONG DR, Phoenix, AZ 85048

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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 Addis Abera's NPI number?

The NPI number for Addis Abera is 1568839736. It was assigned to this individual provider in the NPPES registry on August 24, 2015.

Where is Addis Abera located?

Addis Abera practices at 3822 E Windsong Dr, Phoenix, AZ 85048. The listed phone number is (480) 753-4479.

What is Addis Abera's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Addis Abera was last updated on August 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.