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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PETER M ABRAHAM, RN

Active Sole Proprietor

PETER M ABRAHAM, RN is a Gerontological Nurse healthcare provider located in BEREA, Kentucky. NPI 1679351936 is currently active in the NPPES registry. Verify at CMS.

Gerontological Nurse · BEREA, KY

Registration Details

NPI Number
1679351936
Provider Type
Individual
Gender
Male
NPI Issued
Sep 18, 2023 (2.8679169596093 yrs)
Last Updated
Jun 21, 2025
Licenses
4031876 (KY)
RN6910899 (PA)
RN6910899 (PA)
RN6910899 (PA)
4031876 (KY)
Sole Proprietor
Yes

Practice Information

Address
1000 MOONLIGHT DR
BEREA, KY, 404039239
Browse KY providers · Browse ZIP 40403
Phone
6108584761
Primary Specialty
Gerontological Nurse
163WG0600X
Additional Specialty
Case Management Nurse
Additional Specialty
Hospice Nurse
Additional Specialty
Cardiac Rehabilitation Nurse
Additional Specialty
Hospice Nurse
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.