Individual provider · Type 1 NPI

Ashlie Vandine-Rose Abraham, NP

Pediatric Nurse Practitioner · San Antonio, TX

NPI number 1669931275 Active

Practice location

333 N Santa Rosa St
San Antonio, TX 78207-3108

Mailing address

7206 Still Brook St
San Antonio, TX 78238-2736

Other practice locations

  • 7206 Still Brook St, San Antonio, TX 78238-2736 · (210) 840-6102

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XAP142549 (TX)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1669931275

Ashlie Vandine-Rose Abraham, NP's National Provider Identifier is 1669931275, issued on Mar 14, 2019. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in San Antonio, TX. The record was last updated on Apr 9, 2020.