Derartu Fessa Hayato
NPI #1912629890 in White Bear Lake, Minnesota
Provider Information
- NPI Number
- 1912629890
- Entity Type
- Individual
- Name
- Derartu Fessa Hayato
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Clinical Nurse Specialist - Long-Term Care
- Enumeration Date
- Sep 16, 2022
- Last Updated
- May 31, 2024
Practice Location
- Address
- 3857 VAN DYKE ST
- City
- White Bear Lake
- State
- Minnesota
- ZIP Code
- 55110-4347
- Phone
- (952) 688-7128
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Nurse Specialist - Long-Term Care — Long-Term Care |
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