Individual provider · NPI-1

Michael Davis Abbey, APN

Nurse Practitioner, Adult Health · Hackensack, NJ

NPI number1942743752
StatusActive
Last updated in NPPESMay 31, 2023

Details

NPI
1942743752
Entity type
Individual (NPI-1)
Name
Mr. Michael Davis Abbey
Credential
APN
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 28, 2016
Certification date
May 31, 2023
Last updated
May 31, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LA2200X Nurse Practitioner, Adult Health26NJ00679200NJYes
363LG0600X Nurse Practitioner, Gerontology26NJ00679200NJ

Practice location

131 Main St Ste 210
Hackensack, NJ 07601-7149

Phone 201-210-8859 · Fax 201-882-6327

Mailing address

131 Main St Ste 210
Hackensack, NJ 07601-7149

Phone 201-210-8859 · Fax 201-882-6327

Other practice locations

301 Sicomac Ave
Wyckoff, NJ 07481-2159

Phone 201-848-5208

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