Healthcare Provider Details

I. General information

NPI: 1164336574
Provider Name (Legal Business Name): DAILY A ABREU-MARIA ACNPC-AG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3141 CHESTNUT ST
PHILADELPHIA PA
19104-2875
US

IV. Provider business mailing address

340 MIDDLE RD
HAZLET NJ
07730-2344
US

V. Phone/Fax

Practice location:
  • Phone: 215-895-0002
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License Number26NJ15600000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: