Individual provider · NPI-1

Crystal Abraham, FNP

Nurse Practitioner, Family · Lake Charles, LA

NPI number1447964259
StatusActive
Last updated in NPPESFeb 21, 2023

Details

NPI
1447964259
Entity type
Individual (NPI-1)
Name
Crystal Abraham
Credential
FNP
Sex
Female
Sole proprietor
No
Enumeration date
Jan 6, 2023
Certification date
Feb 21, 2023
Last updated
Feb 21, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family229066LAYes

Practice location

2770 3rd Ave Ste 345
Lake Charles, LA 70601-8994

Phone 337-494-4785 · Fax 337-494-4786

Mailing address

Po Box 122623 Dept 2623
Dallas, TX 75312-0001

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Nurse Practitioner, Family providers in Lake Charles, LA