ABREA TILLMAN NPI 1912798885

NPI Information

  • NPI: 1912798885
  • Provider Name: ABREA TILLMAN
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 460 CITY CENTER DR
    ROHNERT PARK, CA
    ZIP 94928
  • Phone: (415) 900-7489

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NPI Details

Abrea Tillman is a specialist in Rohnert Park, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Abrea Tillman NPI is 1912798885. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

460 CITY CENTER DR
ROHNERT PARK, CA
ZIP 94928-186
Phone: (415) 900-7489

The enumeration date for this NPI number is 5/13/2025 and was last updated on 5/13/2025.

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
1174400000XSpecialistKK588449CALIFORNIAYes

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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