Individual
MR. DOUGLAS JOHAN ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, FNP-C, ENP-C,
Contact information
Practice address
2 MICHIGAN AVE W STE 201, BATTLE CREEK, MI 49017-3621
(269) 282-9022
(844) 332-3887
Mailing address
PO BOX 670, BATTLE CREEK, MI 49016-0670
(269) 282-9022
(844) 332-3887
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
E3282482
MI
163WE0003X
Emergency Registered Nurse
52167
WY
163WF0300X
Flight Registered Nurse
90980
HI
363L00000X
Nurse Practitioner
Primary
4704341949
MI
363LC0200X
Critical Care Medicine Nurse Practitioner
52167
WY
363LF0000X
Family Nurse Practitioner
52167
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8741312240
NRCME-DOT
—
Enumeration date
05/24/2023
Last updated
03/22/2025
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