Provider Demographics
NPI:1477194496
Name:ABRAMS, NICOLE DENISE (WHNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:DENISE
Last Name:ABRAMS
Suffix:
Gender:F
Credentials:WHNP-BC
Other - Prefix:MS
Other - First Name:NICOLE
Other - Middle Name:DENISE
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:WHNP-BC
Mailing Address - Street 1:227 SAINT PAUL ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21202-2001
Mailing Address - Country:US
Mailing Address - Phone:410-332-9330
Mailing Address - Fax:
Practice Address - Street 1:227 SAINT PAUL ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-2001
Practice Address - Country:US
Practice Address - Phone:410-332-9330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-01
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR202861163WE0003X, 363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163WE0003XNursing Service ProvidersRegistered NurseEmergency