Individual
NITA ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-3100
Mailing address
105 CLEARCREEK CT, CARY, NC 27513-3191
(919) 749-0212
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5010569
NC
363LA2200X
Adult Health Nurse Practitioner
Primary
5010569
NC
363LG0600X
Gerontology Nurse Practitioner
5010569
NC
Other
Enumeration date
06/04/2018
Last updated
01/14/2023
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