SOFI MERY ABRAHAM


Address: 4221 S Zephyr St, Lakewood, CO 80235-1928
Phone: 3032635721

SOFI MERY ABRAHAM (NPI# 1578097200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578097200
Entity Type Individual
Full Name SOFI MERY ABRAHAM
Credential N.P.
Practice Address 4221 S Zephyr St
Lakewood
CO 80235-1928
Practice Telephone 3032635721
Mailing Telephone 3032635721
Enumeration Date 2017-04-19
Last Update Date 2020-08-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
APN.0993014-NP CO Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CO MEDICARE PTAN 876021 01
CO 1578097200 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
9451 Huron St, Thornton, CO 802605426 3036504042

Office Location

Street Address 4221 S ZEPHYR ST
City LAKEWOOD
State CO
Zip Code 80235-1928

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1235748237 Esther Steinhaus Nurse Practitioner 409 Ashley Ave, Lakewood, NJ 08701-4866 2020-07-26
1609402817 Bridgit V Wedgle Nurse Practitioner 2556 S Jellison Ct, Lakewood, CO 80227-2872 2020-03-19
1255963187 Tresa Marie Glaser Nurse Practitioner 8807 25th Ave S, Lakewood, WA 98499-8301 2020-02-08
1972149490 Richard Allan Coronel Sy Nurse Practitioner 11645 Walcroft St, Lakewood, CA 90715-1356 2019-11-19
1609411867 Jennifer Lynn Wondel Nurse Practitioner 10424 W Arkansas Dr, Lakewood, CO 80232-5014 2019-11-12
1457901555 Nancy Wairimu Minjire Nurse Practitioner 9537 Gravelly Lake Dr Sw # E10, Lakewood, WA 98499-1513 2019-09-19
1619432325 Soroh Neuberger Nurse Practitioner 232 Jamescrest Ct, Lakewood, NJ 08701-4708 2019-02-06
1487118782 Krista Leigh Petry Nurse Practitioner 4720 Baker St, Lakewood, NY 14750-9772 2019-01-31
1649740093 Svetlana Polyakova Nurse Practitioner 8316 W Eastman Pl, Lakewood, CO 80227-6240 2018-11-28
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Competitor

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City LAKEWOOD
Zip Code 80235

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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