Individual provider · NPI-1

Matthew Abrahamson, NP

Nurse Practitioner, Primary Care · Missoula, MT

NPI number1255026985
StatusActive
Last updated in NPPESApr 28, 2023

Details

NPI
1255026985
Entity type
Individual (NPI-1)
Name
Matthew Abrahamson
Credential
NP
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 10, 2023
Certification date
Apr 28, 2023
Last updated
Apr 28, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP2300X Nurse Practitioner, Primary CareNUR-APRN-LIC-213143MTYes

Practice location

2316 Hillview Ct Apt 4
Missoula, MT 59803-3145

Phone 262-364-8201

Mailing address

2316 Hillview Ct Apt 4
Missoula, MT 59803-3145

Phone 262-364-8201

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