Individual provider · NPI-1

Joana Marie Abitan

Nurse Practitioner, Family · New York, NY

NPI number1922537158
StatusActive
Last updated in NPPESJan 30, 2018

Details

NPI
1922537158
Entity type
Individual (NPI-1)
Name
Joana Marie Abitan
Sex
Female
Sole proprietor
No
Enumeration date
Jun 10, 2017
Last updated
Jan 30, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family342543NYYes
163W00000X Registered Nurse717779NY

Practice location

50 Haven Ave # B72
New York, NY 10032-2652

Phone 707-342-1047

Mailing address

38 Fort Washington Ave Apt 47
New York, NY 10032-4777

Phone 707-342-1047

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