Active NPIIndividual provider

Mr. Harry Rafael S Abilla, NP-C, CRNA, MSN

Nurse Anesthetist, Certified Registered in Lagrange, Georgia

NPI Number1053331546
Practice location
310 North Davis Street, Lagrange, GA 30240
Fax
—
Last updated
January 12, 2022

Mr. Harry Rafael S Abilla, NP-C, CRNA, MSN is a Nurse Anesthetist, Certified Registered based in Lagrange, GA. Mr. Harry Rafael S Abilla, NP-C, CRNA, MSN holds the professional credentials of NP-C, CRNA, MSN. The NPI number for Mr. Harry Rafael S Abilla, NP-C, CRNA, MSN is 1053331546 and holds license No. RN181018 (GA). The current practice location address is 310 North Davis Street, Lagrange, GA 30240 and the office can be reached by phone at 706-812-4068. The NPI was assigned on July 20, 2006 and the record was last updated in NPPES on January 12, 2022.

●Provider Profile Details

NPI Number
1053331546
Provider Name
Harry Rafael Sevilla Abilla
Credential
NP-C, CRNA, MSN
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X
Sole Proprietor
No
Enumeration Date
July 20, 2006
Last Update Date
January 12, 2022
Certification Date
January 12, 2022
NPI Status
Active

◉Business Practice Location Address

Address
310 North Davis Street
Lagrange, GA 30240
State
Georgia
ZIP
30240
Country
US
Phone Number
706-812-4068

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✉Business Mailing Address

Address
Po Box 840853
Dallas, TX 75284-0853
City
Dallas
State
TX
ZIP
75284-0853
Phone Number
972-233-1999
Fax Number
972-233-3666

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Nurse Practitioner, Family363LF0000XNoRN181018GA
Nurse Anesthetist, Certified Registered367500000XNoRN181018GA
Nurse Anesthetist, Certified Registered367500000XYesAP130882TX

#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 Mr. Harry Rafael S Abilla, NP-C, CRNA, MSN?

The NPI number of Mr. Harry Rafael S Abilla, NP-C, CRNA, MSN is 1053331546. It was assigned on July 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Harry Rafael S Abilla, NP-C, CRNA, MSN?

Mr. Harry Rafael S Abilla, NP-C, CRNA, MSN is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X) and holds license No. RN181018 (GA).

Where does Mr. Harry Rafael S Abilla, NP-C, CRNA, MSN practice?

The practice location is 310 North Davis Street, Lagrange, GA 30240. The office can be reached at 706-812-4068 (phone).

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 1053331546 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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