Myatu Abraham

Individual provider Active NPI Personal Care Attendant · Coon Rapids, MN

NPI 1912376526 · NPPES record last updated Sep 24, 2015

Key facts

NPI
1912376526
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
277 Coon Rapids Blvd NW
Suite 410
Coon Rapids, MN 55433-5843
Phone
(651) 432-1406
NPI assigned
Sep 24, 2015
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

277 Coon Rapids Blvd NW
Suite 410
Coon Rapids, MN 55433-5843

Mailing address

277 Coon Rapids Blvd NW
Suite 410
Coon Rapids, MN 55433-5843
Phone (651) 432-1406

Other providers in Coon Rapids, MN

All providers in Coon Rapids, MN · Personal Care Attendant in Minnesota

Sources for this page

Verify at the official NPI Registry.