Provider Demographics
NPI:1356301337
Name:STEIN, ABIGAIL LOUISE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:ABIGAIL
Middle Name:LOUISE
Last Name:STEIN
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 1:13199 SCHOOL LANE RD
Mailing Address - Street 2:
Mailing Address - City:CENTERBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43011-9372
Mailing Address - Country:US
Mailing Address - Phone:614-316-1147
Mailing Address - Fax:
Practice Address - Street 1:60 N STYGLER RD
Practice Address - Street 2:
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-2435
Practice Address - Country:US
Practice Address - Phone:614-475-2014
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2014-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNP08016363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHSTNP16902Medicare UPIN