Provider Demographics
NPI:1568256865
Name:GEBREYESUS, FILMON BERHANE
Entity type:Individual
Prefix:
First Name:FILMON
Middle Name:BERHANE
Last Name:GEBREYESUS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4250 ARVILLE ST APT 219
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89103-3724
Mailing Address - Country:US
Mailing Address - Phone:646-709-0327
Mailing Address - Fax:
Practice Address - Street 1:4250 ARVILLE ST APT 219
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103-3724
Practice Address - Country:US
Practice Address - Phone:646-709-0327
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV882497163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse