Healthcare Provider Details

I. General information

NPI: 1487626834
Provider Name (Legal Business Name): MARY K ABRAHAMSON DNP, NP-C, ACHPN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARY HOOK

II. Dates (important events)

Enumeration Date: 02/01/2006
Last Update Date: 09/26/2023
Certification Date: 09/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 S WILLIAMS BLVD STE 210
TUCSON AZ
85711-4483
US

IV. Provider business mailing address

7400 N ORACLE RD STE 150406
TUCSON AZ
85704-6331
US

V. Phone/Fax

Practice location:
  • Phone: 520-284-9334
  • Fax:
Mailing address:
  • Phone: 520-334-9394
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAP1676
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: