Provider Demographics
NPI:1669356994
Name:GIRMA, TSEGAMLAK A (FNP-C)
Entity type:Individual
Prefix:
First Name:TSEGAMLAK
Middle Name:A
Last Name:GIRMA
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13901 E EXPOSITION AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-2552
Mailing Address - Country:US
Mailing Address - Phone:720-798-3806
Mailing Address - Fax:
Practice Address - Street 1:919 JASMINE ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-4588
Practice Address - Country:US
Practice Address - Phone:303-991-0993
Practice Address - Fax:303-531-6583
Is Sole Proprietor?:No
Enumeration Date:2025-07-31
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COF07250781363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily