Individual provider · NPI-1

Kimberly Beth Abdow, N.P.

Registered Nurse, Psych/Mental Health · Worcester, MA

NPI number1003007477
StatusActive
Last updated in NPPESJan 23, 2019

Details

NPI
1003007477
Entity type
Individual (NPI-1)
Name
Ms. Kimberly Beth Abdow
Credential
N.P.
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 9, 2007
Last updated
Jan 23, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WP0808X Registered Nurse, Psych/Mental HealthRN206918MAYes
364SF0001X Clinical Nurse Specialist, Family Health206917MA

Practice location

435 Shrewsbury St
Worcester, MA 01609-2265

Phone 508-753-5554 · Fax 508-752-7245

Mailing address

202 Russell St
Worcester, MA 01609-2265

Phone 508-753-5554

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