Individual provider · Type 1 NPI

Tishya Abraham, CRNP

Gerontology Nurse Practitioner · Philadelphia, PA

NPI number 1982484333 Active

Practice location

3509 N Broad St
Philadelphia, PA 19140-4105

Call (215) 707-8484 Map

Fax (215) 707-5901

Mailing address

3500 N Broad St # 1A
Philadelphia, PA 19140-4106

Specialties and licenses

Taxonomy	Code	License
Gerontology Nurse Practitioner Primary	363LG0600X	SP028183 (PA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1982484333

Tishya Abraham, CRNP's National Provider Identifier is 1982484333, issued on Oct 3, 2023. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 17, 2024.