Healthcare Provider Details

I. General information

NPI: 1376216069
Provider Name (Legal Business Name): ABRAH LEAH NEVES APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2021
Last Update Date: 12/14/2022
Certification Date: 12/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 COOPER LANDING RD STE C1
CHERRY HILL NJ
08002-2538
US

IV. Provider business mailing address

2719 HARVARD AVE
SAN ANGELO TX
76904-5313
US

V. Phone/Fax

Practice location:
  • Phone: 856-367-5102
  • Fax:
Mailing address:
  • Phone: 325-236-3423
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1042599
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number1042599
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: