Provider Demographics
NPI:1568712537
Name:ABRAHAM, DAWN E (LPN)
Entity Type:Individual
Prefix:MS
First Name:DAWN
Middle Name:E
Last Name:ABRAHAM
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:604 BRAMHALL AVE
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07304-2335
Mailing Address - Country:US
Mailing Address - Phone:201-503-6650
Mailing Address - Fax:
Practice Address - Street 1:604 BRAMHALL AVE
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07304-2335
Practice Address - Country:US
Practice Address - Phone:201-489-5836
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-17
Last Update Date:2018-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY723348163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse