# NAFRESHA ABUAUN PRIVATE PRACTICE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306512199
- **Authorized official:** MRS. NAFRESHA FARAH ABUAUN PMHNP-BC, FNP-BC (PMHNP-BC, FNP-BC)
- **Authorized official phone:** (937) 835-4901

## Contact information

- **Practice address:** 2555 S DIXIE DR STE 201, DAYTON, OH 45409-1532
- **Practice address phone:** (937) 835-4901
- **Practice address fax:** (937) 848-1535
- **Mailing address:** 2555 S DIXIE DR, DAYTON, OH 45409-1539
- **Mailing address phone:** (937) 830-5888
- **Mailing address fax:** (937) 848-1535

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/20/2021
- **Last updated:** 05/22/2025