Rennie Juanillo Abraham, FNP, NP-C
Nurse Practitioner, Family in Atlanta, GA. Individual provider (NPI-1).
NPI number1669740783
StatusActive
Last updated in NPPESSep 11, 2014
Details
- NPI
- 1669740783
- Entity type
- Individual (NPI-1)
- Name
- Mr. Rennie Juanillo Abraham
- Credential
- FNP, NP-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 3, 2011
- Last updated
- Sep 11, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | RN204958 | GA | Yes |
Practice location
275 Collier Rd NwSuite 290
Atlanta, GA 30309-1709
Phone 404-352-3300
Mailing address
275 Collier Rd NwSuite 290
Atlanta, GA 30309-1709
Phone 404-352-3300
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