# MR. DOUGLAS JOHAN ABRAHAM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1811689144
- **Gender:** Man
- **Credential:** APRN, FNP-C, ENP-C,

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 146N00000X | Basic Emergency Medical Technician | E3282482 | MI | — |
| 163WE0003X | Emergency Registered Nurse | 52167 | WY | — |
| 163WF0300X | Flight Registered Nurse | 90980 | HI | — |
| 363L00000X | Nurse Practitioner | 4704341949 | MI | Yes |
| 363LC0200X | Critical Care Medicine Nurse Practitioner | 52167 | WY | — |
| 363LF0000X | Family Nurse Practitioner | 52167 | WY | — |

## Other

- **Enumeration date:** 05/24/2023
- **Last updated:** 03/22/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 8741312240 | NRCME-DOT | — |