Provider Demographics
NPI:1154458859
Name:ABERCROMBIE, PRISCILLA D (NP)
Entity Type:Individual
Prefix:MS
First Name:PRISCILLA
Middle Name:D
Last Name:ABERCROMBIE
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 1:1001 POTRERO, NH 5M5
Mailing Address - Street 2:SFGH WOMEN'S HEALTH CENTER
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110
Mailing Address - Country:US
Mailing Address - Phone:415-206-3409
Mailing Address - Fax:415-456-5458
Practice Address - Street 1:1001 POTRERO, NH 5M5
Practice Address - Street 2:SFGH WOMEN'S HEALTH CENTER
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110
Practice Address - Country:US
Practice Address - Phone:415-206-3409
Practice Address - Fax:415-456-5458
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN372253163WW0101X
CANPF4154363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory
Not Answered363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
030460OtherSFGH INTERNAL USE ONLY-COMMERCIAL NUMBER
NPXUXUMedicare UPIN