Individual provider · NPI-1

Loveth Efosa Abu, FNP

Nurse Practitioner, Family · Bronx, NY

NPI number1245544832
StatusActive
Last updated in NPPESAug 26, 2019

Details

NPI
1245544832
Entity type
Individual (NPI-1)
Name
Loveth Efosa Abu
Credential
FNP
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 5, 2010
Last updated
Aug 26, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family336189NYYes
364SF0001X Clinical Nurse Specialist, Family HealthF336189-1NY

Practice location

1276 Fulton Avenue
4th Floor
Bronx, NY 10457-7606

Phone 917-361-7510

Mailing address

1276 Fulton Avenue
4th Floor
Bronx, NY 10457-7606

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