| Doctor Name: | SEMERE TEKIE |
| NPI Number: | 1083070197 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | RN277574 |
| Business Practice Address: | 76 Munroe St Unit 2 Roxbury, MA - 021191611 |
| Business Phone Number: | 6179597911 |
| Business Fax Number: | |
| Mailing Address: | 76 Munroe St, Unit 2 ROXBURY |
| State: | MA |
| Postal Code: | 021191611 |
| Phone Number: | 6179597911 |
| Fax Number: | |
| NPI Enumeration Date: | 01/05/2016 |
| NPI Last Update Date: | 01/05/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN277574 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |