Kannimariammal Abraham, NURSE PRACTITIONER
Individual provider Active NPI Acute Care Nurse Practitioner · Durham, NC
NPI 1770540973 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1770540973
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- Practice address
- 508 Fulton St
VA Medical Center
Durham, NC 27705-3875 - Phone
- (919) 286-0411
- NPI assigned
- May 1, 2006
- Sex
- Female
- 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 |
|---|---|---|---|
| 000960027 | NC | MD | Acute Care Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | NC | Yes |
Addresses
Primary practice location
508 Fulton St
VA Medical Center
Durham, NC 27705-3875
Mailing address
102 Huntsmoor LN
Cary, NC 27513-4731
Phone (919) 468-1950
Other providers in Durham, NC
- Carol Abken
- Abdulaziz Hesham Abobotain
- Hiba N Abouassi
- Ajith Abraham
- Dennis Abraham
- Nader Abraham
- Cassandra Michelle Abrahams
- Ahmed Abrahim
- Hita Desai Abrams
- Milliann Abrams
All providers in Durham, NC · Acute Care Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. 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.