Abigail Eleanor Fitzgibbons
Specialist/Technologist, Athletic Trainer in Minneapolis, MN. Individual provider (NPI-1).
NPI number1003672544
StatusActive
Last updated in NPPESJan 15, 2025
Details
- NPI
- 1003672544
- Entity type
- Individual (NPI-1)
- Name
- Abigail Eleanor Fitzgibbons
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 22, 2024
- Certification date
- Jan 15, 2025
- Last updated
- Jan 15, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | ATL3903 | MA | Yes |
Practice location
5121 Woodlawn BlvdMinneapolis, MN 55417-1349
Phone 612-385-4199
Mailing address
5121 Woodlawn BlvdMinneapolis, MN 55417-1349
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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