Abigail L Donnelly, FNP-BC
Nurse Practitioner, Family in Rochester, NY. Individual provider (NPI-1).
NPI number1417618190
StatusActive
Last updated in NPPESJun 4, 2025
Details
- NPI
- 1417618190
- Entity type
- Individual (NPI-1)
- Name
- Abigail L Donnelly
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 5, 2022
- Certification date
- Jun 4, 2025
- Last updated
- Jun 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 348969 | NY | Yes |
| 363LF0000X | Nurse Practitioner, Family | 209030207 | IL |
Other names
- Abigail L Peck (Former Name)
Practice location
601 Elmwood Ave Box 697Rochester, NY 14642-3312
Phone 773-751-1860
Mailing address
601 Elmwood Ave Box 697Rochester, NY 14642-0001
Phone 585-275-7546
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