Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ivy Abraham, NP

Individual provider Family Nurse Practitioner · NPI 1790489938

Ivy Abraham, NP is a Nurse Practitioner in LA Habra, California. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2023
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

201 S Harbor Blvd
LA Habra, CA 90631-5654
Phone: (844) 308-5003
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence NP95024560 (CA)

Record details

NPI number1790489938
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedMarch 30, 2023
Last updated in NPPESMarch 13, 2024
Certification dateMarch 13, 2024
Mailing address1000 Vale Terrace Dr, Vista, CA 92084-5218

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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