PETER M ABRAHAM RN NPI 1679351936

NPI Information

  • NPI: 1679351936
  • Provider Name: PETER M ABRAHAM, RN
  • Classification: Registered Nurse - 163WG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • Address: 1000 MOONLIGHT DR
    BEREA, KY
    ZIP 40403
  • Phone: (610) 858-4761

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NPI Details

Peter M Abraham, RN is a gerontology registered nurse in Berea, KY. Peter M Abraham, RN NPI is 1679351936. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1000 MOONLIGHT DR
BEREA, KY
ZIP 40403-239
Phone: (610) 858-4761

The enumeration date for this NPI number is 9/18/2023 and was last updated on 6/21/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WC0400XRegistered NurseCase Management4031876KENTUCKYNo
2163WC0400XRegistered NurseCase ManagementRN6910899PENNSYLVANIANo
3163WH1000XRegistered NurseHospiceRN6910899PENNSYLVANIANo
4163WC3500XRegistered NurseCardiac RehabilitationRN6910899PENNSYLVANIANo
5163WH1000XRegistered NurseHospice4031876KENTUCKYNo
6163WP0000XRegistered NursePain ManagementRN6910899PENNSYLVANIANo
7163WG0600XRegistered NurseGerontologyRN6910899PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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