Individual
ABRAHAM ABEGUNDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN (PMHNP)
Contact information
Practice address
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504
(928) 729-8000
Mailing address
PO BOX 649, FORT DEFIANCE, AZ 86504-0649
(928) 729-8000
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1034518
TX
Other
Enumeration date
09/10/2018
Last updated
01/31/2025
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