Individual
ANN MARIE ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHN
Contact information
Practice address
607 W MAIN ST, SUITE 200, MARSHALL, MN 56258-3169
(507) 532-1274
Mailing address
607 W MAIN ST, SUITE 200, MARSHALL, MN 56258-3169
(507) 532-1274
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R 116284-0
MN
163WC1500X
Community Health Registered Nurse
Primary
20781
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A745498000
—
MN
Enumeration date
08/07/2013
Last updated
08/07/2013
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