BONTU ABERRA DERESSA
NPI 1720910086
Student in an Organized Health Care Education/Training Program in Blaine, MN
About Bontu Aberra Deressa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BONTU ABERRA DERESSA (NPI 1720910086) is an individual student in an organized health care education/training program in Blaine, Minnesota and active in the NPI registry since June 2026.
NPPES Registry Identity
Specialties & Licenses 2
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720910086, enumerated as an "individual" on June 01, 2026.
The provider is located at 3636 110TH LN NE BLAINE, MN 55449 and the phone number is (763) 318-8981.
Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.