Active NPIIndividual providerSole proprietor

Bineetha J Abraham, CRNP

Nurse Practitioner, Family in Philadelphia, Pennsylvania

NPI Number1922499219
Practice location
3401 N Broad St, Philadelphia, PA 19140-5103
Fax
215-707-6867
Last updated
June 2, 2021

Bineetha J Abraham, CRNP is a Nurse Practitioner, Family based in Philadelphia, PA. Bineetha J Abraham, CRNP holds the professional credentials of CRNP. The NPI number for Bineetha J Abraham, CRNP is 1922499219 and holds license No. SP014699 (PA). The current practice location address is 3401 N Broad St, Philadelphia, PA 19140-5103 and the office can be reached by phone at 215-707-5864 and by fax at 215-707-6867. The NPI was assigned on February 9, 2015 and the record was last updated in NPPES on June 2, 2021.

●Provider Profile Details

NPI Number
1922499219
Provider Name
Bineetha Juby Abraham
Credential
CRNP
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Enumeration Date
February 9, 2015
Last Update Date
June 2, 2021
Certification Date
June 2, 2021
NPI Status
Active

◉Business Practice Location Address

Address
3401 N Broad St
Philadelphia, PA 19140-5103
ZIP
19140-5103
Country
US
Phone Number
215-707-5864
Fax Number
215-707-6867

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✉Business Mailing Address

Address
2450 W Hunting Park Ave
Philadelphia, PA 19129-1302
City
Philadelphia
State
PA
ZIP
19129-1302
Phone Number
215-707-5864
Fax Number
215-707-6867

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Nurse Practitioner, Family363LF0000XYesSP014699PA

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Bineetha J Abraham, CRNP?

The NPI number of Bineetha J Abraham, CRNP is 1922499219. It was assigned on February 9, 2015 and is currently active in the NPPES registry.

What is the specialty of Bineetha J Abraham, CRNP?

Bineetha J Abraham, CRNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X) and holds license No. SP014699 (PA).

Where does Bineetha J Abraham, CRNP practice?

The practice location is 3401 N Broad St, Philadelphia, PA 19140-5103. The office can be reached at 215-707-5864 (phone) or 215-707-6867 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1922499219 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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