Individual
SOFI MERY ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
9451 HURON ST, THORNTON, CO 80260-5426
(303) 650-4042
Mailing address
9451 HURON ST, THORNTON, CO 80260-5426
(303) 650-4042
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0993014-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578097200
—
CO
01
—
876021
MEDICARE PTAN
CO
Enumeration date
04/19/2017
Last updated
05/14/2021
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