Provider Demographics
NPI:1700188521
Name:ABRAHAMSON, KATHIE ANN
Entity Type:Individual
Prefix:MS
First Name:KATHIE
Middle Name:ANN
Last Name:ABRAHAMSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 BAY VISTA AVE
Mailing Address - Street 2:
Mailing Address - City:OSPREY
Mailing Address - State:FL
Mailing Address - Zip Code:34229-9576
Mailing Address - Country:US
Mailing Address - Phone:828-553-6079
Mailing Address - Fax:
Practice Address - Street 1:312 BAY VISTA AVE
Practice Address - Street 2:
Practice Address - City:OSPREY
Practice Address - State:FL
Practice Address - Zip Code:34229-9576
Practice Address - Country:US
Practice Address - Phone:828-553-6079
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-30
Last Update Date:2010-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula