Individual provider · NPI-1

Edith Abraham, ARNP

Nurse Practitioner · Tampa, FL

NPI number1134735285
StatusActive
Last updated in NPPESSep 30, 2021

Details

NPI
1134735285
Entity type
Individual (NPI-1)
Name
Edith Abraham
Credential
ARNP
Sex
Female
Sole proprietor
No
Enumeration date
Sep 23, 2020
Certification date
Sep 30, 2021
Last updated
Sep 30, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse PractitionerAPRN11007507FLYes
363LA2100X Nurse Practitioner, Acute CareAPRN11007507FL

Practice location

12902 Usf Magnolia Dr
Tampa, FL 33612-9416

Phone 813-745-8380

Mailing address

Po Box 198441
Atlanta, GA 30384-8441

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