Provider Demographics
NPI:1649057969
Name:ABRISHAMI, NINA F (CNM/ WHNP)
Entity type:Individual
Prefix:
First Name:NINA
Middle Name:F
Last Name:ABRISHAMI
Suffix:
Gender:F
Credentials:CNM/ WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91 RED RIVER ST APT 2307
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78701-4835
Mailing Address - Country:US
Mailing Address - Phone:954-330-9539
Mailing Address - Fax:
Practice Address - Street 1:2909 N INTERSTATE 35 APT 2307
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78722-2304
Practice Address - Country:US
Practice Address - Phone:512-478-4939
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-11
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1109743367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife