Provider Demographics
NPI:1497161681
Name:VOGEL, ABIGAIL NICOLE (CNP)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:NICOLE
Last Name:VOGEL
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:904 QUINCY ST
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57701-2608
Mailing Address - Country:US
Mailing Address - Phone:605-716-6656
Mailing Address - Fax:605-716-6623
Practice Address - Street 1:904 QUINCY ST
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701-2608
Practice Address - Country:US
Practice Address - Phone:605-716-6656
Practice Address - Fax:605-716-6623
Is Sole Proprietor?:No
Enumeration Date:2014-07-08
Last Update Date:2014-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDCP00869363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner