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Contact Information

SHANNON M ABRAHAM, CRNA
1650 W COLLEGE ST
GRAPEVINE, TX76051-3565
 Phone: 817-481-1588
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for SHANNON M ABRAHAM · (Female)

NPI # 1306615976
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 12/25/2023
Last updated 12/25/2023 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 147598
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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