Fantahun M. Tedla, P.A-C
Physician Assistant · Everett, WA
UnclaimedP.A-CNPI 1033548144
- Primary taxonomy
- 363A00000X
- Enumerated
- 2013-11-08
- Practice location
- Everett, WA
- Last NPPES update
- 2019-11-15
State licenses
- WA · Physician assistant · NPPES self-reportedListed on NPI record
- WA · Physician assistant · Physician Assistant LicenseActivethrough 2027
- WV · Physician assistant · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.