Individual
ABIGAIL KANIARIS RISHOVD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
890 W FARIS RD STE 470, GREENVILLE, SC 29605-4281
(864) 455-5938
(864) 455-8238
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
18640
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP2849
—
SC
Enumeration date
03/20/2014
Last updated
06/14/2021
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