Individual provider · NPI-1

Geeta J Abraham, PMHNP

Nurse Practitioner, Psych/Mental Health · Providence, RI

NPI number1134772437
StatusActive
Last updated in NPPESJun 9, 2023

Details

NPI
1134772437
Entity type
Individual (NPI-1)
Name
Geeta J Abraham
Credential
PMHNP
Sex
Female
Sole proprietor
No
Enumeration date
Jul 17, 2019
Certification date
Jun 9, 2023
Last updated
Jun 9, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0808X Nurse Practitioner, Psych/Mental HealthAPRN02074RIYes
363L00000X Nurse PractitionerAPRN02074RI

Practice location

593 Eddy St
Providence, RI 02903-4923

Phone 401-444-4000

Mailing address

125 Whipple St Ste 3
Providence, RI 02908-3258

Other practice locations

345 Blackstone Blvd
Providence, RI 02906-4800

Phone 401-455-6200 · Fax 401-455-6689

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