Individual
EDITH ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 745-8380
Mailing address
PO BOX 198441, ATLANTA, GA 30384-8441
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11007507
FL
363LA2100X
Acute Care Nurse Practitioner
APRN11007507
FL
Other
Enumeration date
09/23/2020
Last updated
09/30/2021
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