Abebe Abera, APRN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Decatur, GA
NPI 1720537368 · NPPES record last updated Sep 23, 2016
Key facts
- NPI
- 1720537368
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- RN207642 (GA)
- Practice address
- 1670 Clairmont Rd
Decatur, GA 30033-4004 - Phone
- (678) 707-2418
- NPI assigned
- Sep 23, 2016
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN207642 | GA | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN207642 | GA | Yes |
Addresses
Primary practice location
1670 Clairmont Rd
Decatur, GA 30033-4004
Mailing address
1670 Clairmont Rd
Decatur, GA 30033-4004
Phone (678) 707-2418
Other providers in Decatur, GA
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- Diana Tawiah Ababio
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- Aliyah Abdur-Rahman
- Ula Abed Alwahab
- Ability First Inc
- Able Housing Services Corp
- Abney and Hill DDS
- Charles L Abney
- Sikirat Olabimpe Abolarin
All providers in Decatur, GA · Psychiatric/Mental Health Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.