Tishya Abraham, CRNP
Nurse Practitioner, Gerontology in Philadelphia, Pennsylvania
1982484333- Practice location
- 3509 N Broad St, Philadelphia, PA 19140-4105
- Phone
- 215-707-8484
- Fax
- 215-707-5901
- Last updated
- September 17, 2024
Tishya Abraham is a Nurse Practitioner, Gerontology based in Philadelphia, PA. Tishya Abraham practices in Philadelphia, PA and has the professional credentials of CRNP. The NPI Number for Tishya Abraham is 1982484333 and holds a License No. SP028183 (PA). The current practice location address for Tishya Abraham is 3509 N Broad St, Philadelphia, PA 19140-4105 and can be reached out via phone at 215-707-8484 and via fax at 215-707-5901.
Provider Profile Details
- NPI Number
- 1982484333
- Provider Name
- Tishya Abraham
- Credential
- CRNP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 3509 N Broad St, Philadelphia, PA 19140-4105
- Phone Number
- 215-707-8484
- Fax Number
- 215-707-5901
- Primary Taxonomy
- Nurse Practitioner, Gerontology · 363LG0600X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 3, 2023
- Last Update Date
- September 17, 2024
- Certification Date
- September 17, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3509 N Broad St
Philadelphia, PA 19140-4105 - City
- Philadelphia
- State
- Pennsylvania
- Zip
- 19140-4105
- Phone Number
- 215-707-8484
- Fax Number
- 215-707-5901
Provider Business Mailing Address Details
- Address
- 3500 N Broad St # 1A
Philadelphia, PA 19140-4106 - City
- Philadelphia
- State
- PA
- Zip
- 19140-4106
- Phone Number
- 215-707-2433
License Information
- License Number
- SP028183
- License State
- PA
- Taxonomy
- Nurse Practitioner, Gerontology · 363LG0600X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy 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 Tishya Abraham, CRNP?
The NPI number of Tishya Abraham, CRNP is 1982484333. It was assigned on October 3, 2023 and is currently active in the NPPES registry.
What is the specialty of Tishya Abraham, CRNP?
Tishya Abraham, CRNP is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in PA under license number SP028183.
Where does Tishya Abraham, CRNP practice?
The practice location is 3509 N Broad St, Philadelphia, PA 19140-4105. The office can be reached at 215-707-8484 (phone) or 215-707-5901 (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 1982484333 directly on the NPPES registry website.