Provider Demographics
NPI:1093397622
Name:KAMERTZ, ABIGAIL FARRELL (NP)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:FARRELL
Last Name:KAMERTZ
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 LAETITIA LN
Mailing Address - Street 2:
Mailing Address - City:LANDENBERG
Mailing Address - State:PA
Mailing Address - Zip Code:19350-1051
Mailing Address - Country:US
Mailing Address - Phone:980-229-0307
Mailing Address - Fax:
Practice Address - Street 1:20 HERR DR
Practice Address - Street 2:
Practice Address - City:NOTTINGHAM
Practice Address - State:PA
Practice Address - Zip Code:19362-9788
Practice Address - Country:US
Practice Address - Phone:610-871-7696
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-23
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELG-0011623363LF0000X
PASP027359363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily