IndividualActive
Abraham Abegunde, APRN (PMHNP)
NPI 1841773504 · Psychiatric/Mental Health Nurse Practitioner · Fort Defiance, AZ
Provider details
- NPI number
- 1841773504
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN (PMHNP)
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1034518 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
Corner of Route N12 and N7
Fort Defiance, AZ 86504
Phone: (928) 729-8000
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 649
Fort Defiance, AZ 86504-0649
Registry dates
- Enumerated
- 2018-09-10
- Last updated
- 2025-01-31
- Certified
- 2025-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.