Individual provider · NPI-1

Gina Janea Abraham, APRN

Nurse Practitioner, Family · Wichita, KS

NPI number1033619085
StatusActive
Last updated in NPPESNov 17, 2020

Details

NPI
1033619085
Entity type
Individual (NPI-1)
Name
Mrs. Gina Janea Abraham
Credential
APRN
Sex
Female
Sole proprietor
No
Enumeration date
Feb 16, 2018
Certification date
Nov 17, 2020
Last updated
Nov 17, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family53-77978-091KSYes

Practice location

530 N Ridge Rd Ste B
Wichita, KS 67212-6576

Phone 316-616-1055 · Fax 855-633-0585

Mailing address

530 N Ridge Rd Ste B
Wichita, KS 67212-6576

Phone 405-544-0265 · Fax 855-223-1999

Other practice locations

3334 N Grey Meadow Ct
Wichita, KS 67205-8716

Phone 316-992-7900

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