Individual
MS. BRENDA LEE ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2512 WHEATON WAY STE A, BREMERTON, WA 98310-3303
(360) 782-5700
(360) 782-5899
Mailing address
2512 WHEATON WAY STE A, BREMERTON, WA 98310-3303
(360) 782-5700
(360) 782-5899
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
200650167NP
OR
363LC0200X
Critical Care Medicine Nurse Practitioner
0024164063
VA
363LF0000X
Family Nurse Practitioner
Primary
AP60541946
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2008837
—
WA
05
—
278574
—
OR
Enumeration date
10/28/2005
Last updated
09/30/2020
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