Individual
PETER M ABRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1000 MOONLIGHT DR, BEREA, KY 40403-9239
(610) 858-4761
Mailing address
1000 MOONLIGHT DR, BEREA, KY 40403-9239
(859) 452-0354
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
4031876
KY
163WC0400X
Case Management Registered Nurse
RN6910899
PA
163WC3500X
Cardiac Rehabilitation Registered Nurse
RN6910899
PA
163WG0600X
Gerontology Registered Nurse
Primary
RN6910899
PA
163WH1000X
Hospice Registered Nurse
4031876
KY
163WH1000X
Hospice Registered Nurse
RN6910899
PA
163WP0000X
Pain Management Registered Nurse
RN6910899
PA
Other
Enumeration date
09/18/2023
Last updated
06/21/2025
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