MEDICARE: OMANA GEORGE ABRAHAM DNP, CRNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	SP008059	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619955507
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OMANA GEORGE ABRAHAM DNP, CRNP

Provider Business Mailing Address
First Line	:	7039 W CHESTER PIKE
Second Line	:	FIRST FLOOR
City	:	UPPER DARBY
State	:	PA
Zip	:	19082-1705
Country	:	US
Telephone Number	:	610-316-7652
Fax Number	:	484-866-8821

Provider Business Practice Location Address
First Line	:	7039 WEST CHESTER PIKE
Second Line	:	FIRST FLOOR
City	:	UPPER DARBY
State	:	PA
Zip	:	19082
Country	:	US
Telephone Number	:	610-316-7652
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/03/2006
Last Update Date	:	05/18/2026

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