Individual
ABIGAIL NURSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10251 CHERRY TREE TER, CENTERVILLE, OH 45458-9431
(716) 432-3440
Mailing address
10251 CHERRY TREE TER, CENTERVILLE, OH 45458-9431
(716) 432-3440
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
92-0683196
IRS
OH
Enumeration date
10/13/2022
Last updated
10/13/2022
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