Healthcare Provider Details

I. General information

NPI: 1023296696
Provider Name (Legal Business Name): ABRA L GREENBERG CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2008
Last Update Date: 05/14/2025
Certification Date: 05/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2790 MAPLEWOOD DR
COLUMBUS OH
43231-4858
US

IV. Provider business mailing address

2790 MAPLEWOOD DR
COLUMBUS OH
43231-4858
US

V. Phone/Fax

Practice location:
  • Phone: 614-524-5889
  • Fax:
Mailing address:
  • Phone: 614-524-5889
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number09549
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number65.000453
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: