Provider Demographics
NPI:1912679176
Name:ABRAHAM, MICHELLE RACHEL (APRN, FNP-C)
Entity Type:Individual
Prefix:MISS
First Name:MICHELLE
Middle Name:RACHEL
Last Name:ABRAHAM
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2401 FOREST DR
Mailing Address - Street 2:
Mailing Address - City:INVERNESS
Mailing Address - State:FL
Mailing Address - Zip Code:34453-3720
Mailing Address - Country:US
Mailing Address - Phone:352-344-3777
Mailing Address - Fax:352-344-2546
Practice Address - Street 1:2401 FOREST DR
Practice Address - Street 2:
Practice Address - City:INVERNESS
Practice Address - State:FL
Practice Address - Zip Code:34453-3720
Practice Address - Country:US
Practice Address - Phone:352-344-3777
Practice Address - Fax:352-344-2546
Is Sole Proprietor?:No
Enumeration Date:2021-10-05
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11015776363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily