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Individual

PETRA S. ABRAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
1619 MAYBELL TRL, LAWRENCEVILLE, GA 30044-2074
(908) 616-1359
Mailing address
1619 MAYBELL TRL, LAWRENCEVILLE, GA 30044-2074
(908) 616-1359

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN173191
GA
363L00000X
Nurse Practitioner
Primary
RN173191
GA

Other

Enumeration date
08/03/2021
Last updated
02/01/2022
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