Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Beyene Teclehaiman Kidane

Individual provider Registered Nurse · NPI 1356215941

Beyene Teclehaiman Kidane is a Registered Nurse in Elk Grove, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

10114 Elise Way
Elk Grove, CA 95757-5073
Phone: (951) 316-3552
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 616243 (CA)

Record details

NPI number1356215941
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 6, 2025
Last updated in NPPESOctober 6, 2025
Certification dateOctober 6, 2025
Mailing address10114 Elise Way, Elk Grove, CA 95757-5073

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