Individual
BONITA DENISE ABRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4222 WENDOVER AVE STE 400, ODESSA, TX 79762-5924
(432) 337-4782
(432) 653-4509
Mailing address
1010 LIMESTONE AVE, ODESSA, TX 79761-3117
(432) 664-2128
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1019338
TX
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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