Individual provider · NPI-1

Usha Thoppil Abraham, AGACNP

Nurse Practitioner, Gerontology · Round Rock, TX

NPI number1316697352

StatusActive

Last updated in NPPESMar 24, 2022

Details

NPI: 1316697352
Entity type: Individual (NPI-1)
Name: Usha Thoppil Abraham
Credential: AGACNP
Sex: Female
Sole proprietor: No
Enumeration date: Mar 24, 2022
Certification date: Mar 12, 2022
Last updated: Mar 24, 2022

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363LG0600X	Nurse Practitioner, Gerontology	1071733	TX	Yes

Other names

Usha Thoppil Abraham (Former Name)

Practice location

8500 Tad Park Cv
Round Rock, TX 78681-3533

Phone 512-680-9143

Mailing address

St. John'S Medical Center
2100 Wheeling Ave
Tulsa, OK 74104

Phone 918-744-2345

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