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

Derartu Fessa Hayato

Individual provider Long-Term Care Clinical Nurse Specialist · NPI 1912629890

Derartu Fessa Hayato is a Long-Term Care Clinical Nurse Specialist in White Bear Lake, Minnesota. Licensed in Minnesota. Registered with an NPI since 2022.

Licensed in
MN
In the registry since
2022

Practice location Address checks out

3857 Van Dyke St
White Bear Lake, MN 55110-4347
Phone: (952) 688-7128
Show map & directions

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

Specialties & licences

Long-Term Care Clinical Nurse Specialist (primary) Taxonomy 364SL0600X · Licence 1109803 (MN)

Record details

NPI number1912629890
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 16, 2022
Last updated in NPPESMay 31, 2024
Certification dateMay 31, 2024