| Doctor Name: | MARY ANN ABRAHAMSON |
| NPI Number: | 1699145029 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 4737515-8900 |
| Business Practice Address: | 971 W 1200 S Woods Cross, UT - 840872007 |
| Business Phone Number: | 4358491469 |
| Business Fax Number: | |
| Mailing Address: | Po Box 30180, SALT LAKE CITY |
| State: | UT |
| Postal Code: | 841300180 |
| Phone Number: | 4358491469 |
| Fax Number: | |
| NPI Enumeration Date: | 09/28/2015 |
| NPI Last Update Date: | 10/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | 4737515-8900 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |