NPI 1669931275 · live from the CMS NPI Registry
Ashlie Vandine-Rose Abraham, NP
Nurse Practitioner, Pediatrics in San Antonio, TX. National Provider Identifier 1669931275, active.
NPI record
| NPI | 1669931275 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 333 N Santa Rosa St, San Antonio, TX 78207 |
| Practice phone | 210-704-2011 |
| Mailing address | 7206 Still Brook St, San Antonio, TX 78238 |
| Enumerated | March 14, 2019 |
| Last updated | April 9, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | AP142549 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.