Individual
NICHOLE ABRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1006 NE 17TH ST, OKLAHOMA CITY, OK 73111-1002
(405) 521-8486
Mailing address
PO BOX 30589, MIDWEST CITY, OK 73140-3589
(405) 769-3301
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5045
OK
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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