Individual provider · NPI-1

Elizabeth O Abbott, CRNP

Nurse Practitioner, Women's Health · Philadelphia, PA

NPI number1598901902
StatusActive
Last updated in NPPESOct 3, 2012

Details

NPI
1598901902
Entity type
Individual (NPI-1)
Name
Elizabeth O Abbott
Credential
CRNP
Sex
Female
Sole proprietor
No
Enumeration date
Jan 7, 2009
Last updated
Oct 3, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LW0102X Nurse Practitioner, Women's HealthRN612422PAYes
363LW0102X Nurse Practitioner, Women's Health42 420866NY
363LW0102X Nurse Practitioner, Women's HealthSP010773PA
363LW0102X Nurse Practitioner, Women's Health42420866NY

Practice location

3701 Market Street
3rd Floor
Philadelphia, PA 19104

Phone 215-662-6035 · Fax 212-342-1783

Mailing address

3701 Market Street
3rd Floor
Philadelphia, PA 19104-2617

Phone 215-662-3958 · Fax 212-342-1783

Is something wrong?

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