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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FANTAHUN MULUGETA TEDLA, P.A-C

Active

FANTAHUN MULUGETA TEDLA, P.A-C is a Physician Assistant healthcare provider located in EVERETT, Washington. NPI 1033548144 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · EVERETT, WA

Registration Details

NPI Number
1033548144
Provider Type
Individual
Gender
Male
NPI Issued
Nov 8, 2013 (12.773065960186 yrs)
Last Updated
Nov 15, 2019
Licenses
623 (WV)
PA60464318 (WA)

Practice Information

Address
3927 RUCKER AVE
EVERETT, WA, 98201
Browse WA providers · Browse ZIP 98201
Phone
4253395422
Fax
4253395444
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in EVERETT, WA

Name Credential NPI
MRS. ANNA STURM PA-C 1225037773
MR. JUDE FARRELL PATTON PA-C 1417920810
MR. EDWARD SWENSEN PA 1871560292
MARGARET B HELLER PAC 1457317141
NICHOLAS TAMBURRI PA-C 1174572044
RAM SHARMA PA-C 1467402701
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.