Individual provider · Type 1 NPI
Ajith Abraham, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Durham, NC
NPI number
1053983098
Active
Practice location
4819 Emperor Blvd Ste 400
Durham, NC 27703-5420
Fax (919) 551-7592
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0024182168 (VA) |
| Registered Nurse | 163W00000X | 284170 (NC) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 5016227 (NC) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1053983098
Ajith Abraham, PMHNP's National Provider Identifier is 1053983098, issued on Jul 10, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Durham, NC. The record was last updated on Jan 2, 2024.