Provider Demographics
NPI:1275273153
Name:SHIPP, ABIGAIL E (DIP CBE(CBI))
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:E
Last Name:SHIPP
Suffix:
Gender:F
Credentials:DIP CBE(CBI)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:511 E OAK ST
Mailing Address - Street 2:
Mailing Address - City:RED OAK
Mailing Address - State:IA
Mailing Address - Zip Code:51566-1640
Mailing Address - Country:US
Mailing Address - Phone:402-669-7345
Mailing Address - Fax:
Practice Address - Street 1:511 E OAK ST
Practice Address - Street 2:
Practice Address - City:RED OAK
Practice Address - State:IA
Practice Address - Zip Code:51566-1640
Practice Address - Country:US
Practice Address - Phone:402-669-7345
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-30
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator