Eyerusalem Tefera
Eyerusalem Tefera is a Nurse Practitioner in Shawnee, Kansas. Qualified in 2022, 4 years ago. Practices with Theoria Medical, a 342-clinician group and accepts Medicare assignment. Licensed in Kansas.
- Years since qualifying
- 4
- Licensed in
- KS
- In the registry since
- 2023
Practice location Address checks out
7450 Quivira RdShawnee, KS 66216-3526
Phone: (913) 706-2508
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 53-82209-052 (KS) |
|---|
Record details
| NPI number | 1184402232 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 19, 2023 |
| Last updated in NPPES | September 19, 2023 |
| Certification date | September 19, 2023 |
| Mailing address | 7450 Quivira Rd, Shawnee, KS 66216-3526 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Theoria Medical — 342 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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