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Contact Information

TISHYA ABRAHAM, CRNP
3509 N BROAD ST
PHILADELPHIA, PA19140-4105
 Phone: 215-707-8484
 Fax: 215-707-5901
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

363LG0600X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for TISHYA ABRAHAM · (Female)

NPI # 1982484333
Status Active
Credentials CRNP (Certified Registered Nurse Practitioner)
Entity Individual
Enumeration date 10/03/2023
Last updated 09/17/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • PA License # SP028183
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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