Provider Demographics
NPI:1225666977
Name:ABRAHAM, SHEENA ALISHA (CRNA)
Entity Type:Individual
Prefix:
First Name:SHEENA
Middle Name:ALISHA
Last Name:ABRAHAM
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Gender:F
Credentials:CRNA
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Mailing Address - Street 1:MEDSTAR MEDICAL GROUP ANESTHESIOLOGY
Mailing Address - Street 2:1420 KEY HIGHWAY SUITE 400
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21230
Mailing Address - Country:US
Mailing Address - Phone:410-230-4848
Mailing Address - Fax:410-230-7834
Practice Address - Street 1:MEDSTAR FRANKLIN SQUARE MEDICAL CENTER
Practice Address - Street 2:9000 FRANKLIN SQUARE DRIVE
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21237
Practice Address - Country:US
Practice Address - Phone:443-777-2436
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-30
Last Update Date:2022-10-18
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Provider Licenses
StateLicense IDTaxonomies
MDR192424367500000X
PARN678983367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered