Provider Demographics
NPI:1942920392
Name:GUTEMA, MESERET (RN)
Entity type:Individual
Prefix:
First Name:MESERET
Middle Name:
Last Name:GUTEMA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34213 31ST AVE SW
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98023-7633
Mailing Address - Country:US
Mailing Address - Phone:206-227-2181
Mailing Address - Fax:425-988-0106
Practice Address - Street 1:34213 31ST AVE SW
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98023-7633
Practice Address - Country:US
Practice Address - Phone:206-227-2181
Practice Address - Fax:425-988-0106
Is Sole Proprietor?:No
Enumeration Date:2022-08-29
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60861431163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse