Healthcare Provider Details

I. General information

NPI: 1437287620
Provider Name (Legal Business Name): SHARON YVONNE ABRAMS ANP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/01/2007
Last Update Date: 06/27/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

502 RICHIE RD
CABOT AR
72023-3309
US

IV. Provider business mailing address

PO BOX 497
AUGUSTA AR
72006-0497
US

V. Phone/Fax

Practice location:
  • Phone: 501-941-0940
  • Fax: 501-941-1875
Mailing address:
  • Phone: 870-347-2534
  • Fax: 870-347-2023

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA01045
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: