IndividualActive
Abimbola Etou
NPI 1366763310 · Nurse Practitioner · Philadelphia, PA
Provider details
- NPI number
- 1366763310
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- SP029118 (PA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3400 Civic Center Blvd
Philadelphia, PA 19104-5127
Phone: (215) 439-2500
Approximate (ZIP-level) locationGet directions
Mailing address
6 Jones Dr
Garnet Valley, PA 19060-1214
Additional practice locations (1)
- 3900 Woodland AvePhiladelphia, PA 19104-4551Phone: (215) 550-5673
Registry dates
- Enumerated
- 2010-06-14
- Last updated
- 2024-01-22
- Certified
- 2024-01-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.