Individual provider · NPI-1

Lija Abraham, CRNP

Nurse Practitioner, Family · Philadelphia, PA

NPI number1114240728
StatusActive
Last updated in NPPESOct 19, 2015

Details

NPI
1114240728
Entity type
Individual (NPI-1)
Name
Lija Abraham
Credential
CRNP
Sex
Female
Sole proprietor
No
Enumeration date
Mar 10, 2010
Last updated
Oct 19, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilySP010686PAYes

Other names

  • Lija Chacko Abraham (Professional Name)

Practice location

3400 Spruce St
Philadelphia, PA 19104-4238

Phone 215-662-7355

Mailing address

3400 Spruce St
Philadelphia, PA 19104-4238

Phone 215-662-7355

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