Individual
ANTONIA JACQUELINE ABRAHAMSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2009 E OAKLAND AVE, BLOOMINGTON, IL 61701-5756
(309) 287-8737
Mailing address
2009 E OAKLAND AVE, BLOOMINGTON, IL 61701-5756
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209014663
IL
Other
Enumeration date
08/04/2016
Last updated
08/04/2016
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