Individual provider · NPI-1

Nita Abraham

Nurse Practitioner, Adult Health · Raleigh, NC

NPI number1366934556
StatusActive
Last updated in NPPESJan 14, 2023

Details

NPI
1366934556
Entity type
Individual (NPI-1)
Name
Nita Abraham
Sex
Female
Sole proprietor
No
Enumeration date
Jun 4, 2018
Certification date
Jan 14, 2023
Last updated
Jan 14, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LA2200X Nurse Practitioner, Adult Health5010569NCYes
363L00000X Nurse Practitioner5010569NC
363LG0600X Nurse Practitioner, Gerontology5010569NC

Practice location

4420 Lake Boone Trl
Raleigh, NC 27607-7505

Phone 919-784-3100

Mailing address

105 Clearcreek Ct
Cary, NC 27513-3191

Phone 919-749-0212

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