Provider Demographics
NPI:1851275895
Name:ABRAHAM, ESAYAS WOLDESEMAYAT (NP)
Entity type:Individual
Prefix:
First Name:ESAYAS
Middle Name:WOLDESEMAYAT
Last Name:ABRAHAM
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 BELLINGHAM ST APT 2
Mailing Address - Street 2:
Mailing Address - City:CHELSEA
Mailing Address - State:MA
Mailing Address - Zip Code:02150-3315
Mailing Address - Country:US
Mailing Address - Phone:857-753-6521
Mailing Address - Fax:
Practice Address - Street 1:132 BELLINGHAM ST APT 2
Practice Address - Street 2:
Practice Address - City:CHELSEA
Practice Address - State:MA
Practice Address - Zip Code:02150-3315
Practice Address - Country:US
Practice Address - Phone:857-753-6521
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2291479363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner