Provider Demographics
NPI:1275250391
Name:ABEL, ISADORA SEVILLE (FNP)
Entity Type:Individual
Prefix:
First Name:ISADORA
Middle Name:SEVILLE
Last Name:ABEL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1738 N FRANKLIN ST UNIT 3-E
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-1143
Mailing Address - Country:US
Mailing Address - Phone:303-875-5349
Mailing Address - Fax:
Practice Address - Street 1:1738 N FRANKLIN ST UNIT 3-E
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1143
Practice Address - Country:US
Practice Address - Phone:303-875-5349
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-20
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0997920-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily