MARY MARGARET COCHRAN ABRAHAM


Address: 220 California Dr, Yountville, CA 94599-1412
Phone: 7079444716

MARY MARGARET COCHRAN ABRAHAM (NPI# 1841505633) 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) 1841505633
Entity Type Individual
Full Name MARY MARGARET COCHRAN ABRAHAM
Credential N.P.
Practice Address 220 California Dr
Yountville
CA 94599-1412
Mailing Address Po Box 942895
Sacramento
CA 94295-0001
Practice Telephone 7079444716
Practice Fax Number 7079445052
Mailing Telephone 9166530090
Mailing Fax Number 9166531795
Enumeration Date 2010-08-17
Last Update Date 2010-08-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 706676 CA Nursing Service Providers
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
19976 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 220 CALIFORNIA DR
City YOUNTVILLE
State CA
Zip Code 94599-1412

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225023872 Victor J. Aaen Family Medicine 220 California Dr, Yountville, CA 94599-1412 2005-09-20
1578700381 Larry M. Bencich Psychologist 220 California Dr, Yountville, CA 94599-1412 2009-01-15
1336386150 Courtney P. Persinger Psychologist 220 California Dr, Yountville, CA 94599-1412 2009-01-15
1821234188 John A. Swieconek Internal Medicine 220 California Dr, Yountville, CA 94599-1412 2008-12-16
1710196563 William Michael Southard Audiologist 220 California Dr, Yountville, CA 94599-1412 2007-05-21
1710048798 Martha Jeannette Jolley Nurse Practitioner 220 California Dr, Yountville, CA 94599-1412 2006-12-13
1457432692 Paul B. Chin Internal Medicine 220 California Dr, Yountville, CA 94599-1412 2006-10-17
1790737278 Susanna Kurk Dentist 220 California Dr, Yountville, CA 94599-1412 2006-05-16
1235107194 Richard M Malan Dentist 220 California Dr, Yountville, CA 94599-1412 2006-03-08
1730156282 Julie Stenger Fields Preventive Medicine 220 California Dr, Yountville, CA 94599-1412 2006-03-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386843167 Veterans Home of California Pharmacy 123 California Drive, Yountville, CA 94599 2007-07-12
1215579511 James David Vye Jr. Physical Therapist 1897 Hopper Way, Yountville, CA 94599-1212 2019-10-09
1215249875 Boyd Patrick Dennington Dentist 6525 Washington St, Yountville, CA 94599-1300 2010-07-11
1730522517 Robert Roy Hampton IIi Dentist 6525 Washington St, Yountville, CA 94599-1300 2013-04-11
1578928701 Kimberly De Luna Pharmacist 123 California Dr, Yountville, CA 94599-1411 2015-12-14
1235441163 Rachelle Marie Methner Dietitian, Registered 120 California Dr, Yountville, CA 94599-1411 2010-07-08
1396061255 Carolyn A Clark Social Worker 150 California Dr, Yountville, CA 94599-1411 2010-04-15
1144412156 Angela Brochu Dietitian, Registered 180 California Dr, Yountville, CA 94599-1411 2007-08-14
1033300470 Lynne Alison Fredricksen Dietitian, Registered 110 California Dr, Yountville, CA 94599-1411 2007-08-08
1225236243 Sharon A. Parda Dietitian, Registered 190 California Dr, Yountville, CA 94599-1411 2007-07-11
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

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1518586452 Zaruhi Harutyunyan Nurse Practitioner 7901 Santa Monica Blvd Ste 206, West Hollywood, CA 90046-5180 2020-04-10
1457986168 Maritza J Lira Nurse Practitioner 23141 Verdugo Dr Ste 201, Laguna Hills, CA 92653-1341 2020-03-03
1225677198 Shannon Ha Duyen Sicat Nurse Practitioner 2617 E Chapman Ave Ste 109, Orange, CA 92869-3245 2019-12-24
1528605961 Elsa L Pineda-flores Nurse Practitioner 1513 S Grand Ave Ste 306, Los Angeles, CA 90015-3075 2019-12-04
1447895073 Kemi Osilesi Nurse Practitioner 1943 Seasons St, Simi Valley, CA 93065-0580 2019-11-07
1487297107 Fareeha Sipra Nurse Practitioner Fresno County Jail, 1225 M Street, Fresno, CA 93721 2019-10-25
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Competitor

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City YOUNTVILLE
Zip Code 94599

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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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