Provider Demographics
NPI:1427843143
Name:ASEMAHEGN, ASSEFA GETACHEW
Entity type:Individual
Prefix:
First Name:ASSEFA
Middle Name:GETACHEW
Last Name:ASEMAHEGN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1733 HUNTERS BLUFF DR
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89032-7983
Mailing Address - Country:US
Mailing Address - Phone:702-824-0019
Mailing Address - Fax:702-268-8686
Practice Address - Street 1:1733 HUNTERS BLUFF DR
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89032-7983
Practice Address - Country:US
Practice Address - Phone:702-824-0019
Practice Address - Fax:702-268-8686
Is Sole Proprietor?:No
Enumeration Date:2025-04-12
Last Update Date:2025-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV11211-AGC-0163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health