Provider Demographics
NPI:1265109128
Name:KANU, ABRIA-DAWN (PA-C)
Entity type:Individual
Prefix:
First Name:ABRIA-DAWN
Middle Name:
Last Name:KANU
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 SWEDE ST
Mailing Address - Street 2:
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19401-3957
Mailing Address - Country:US
Mailing Address - Phone:267-650-0153
Mailing Address - Fax:
Practice Address - Street 1:730 E WALNUT ST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:PA
Practice Address - Zip Code:17042-5655
Practice Address - Country:US
Practice Address - Phone:717-274-5451
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-26
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant