Healthcare Provider Details

I. General information

NPI: 1801614623
Provider Name (Legal Business Name): DARLEEN N ABRAMS LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2024
Last Update Date: 10/01/2024
Certification Date: 10/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10811 W 6TH AVE
AIRWAY HEIGHTS WA
99001-5345
US

IV. Provider business mailing address

10412 W LINGONBERRY CT
CHENEY WA
99004-8419
US

V. Phone/Fax

Practice location:
  • Phone: 509-481-4990
  • Fax:
Mailing address:
  • Phone: 917-283-3817
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License NumberLP61398247
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: