Individual provider · NPI-1

Bineetha Juby Abraham, CRNP

Nurse Practitioner, Family · Philadelphia, PA

NPI number1922499219
StatusActive
Last updated in NPPESJun 2, 2021

Details

NPI
1922499219
Entity type
Individual (NPI-1)
Name
Bineetha Juby Abraham
Credential
CRNP
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 9, 2015
Certification date
Jun 2, 2021
Last updated
Jun 2, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilySP014699PAYes

Practice location

3401 N Broad St
Philadelphia, PA 19140-5103

Phone 215-707-5864 · Fax 215-707-6867

Mailing address

2450 W Hunting Park Ave
Philadelphia, PA 19129-1302

Phone 215-707-5864 · Fax 215-707-6867

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 Philadelphia, PA