Provider Demographics
NPI:1497999171
Name:ALLEN, ABBY L (FNP)
Entity Type:Individual
Prefix:
First Name:ABBY
Middle Name:L
Last Name:ALLEN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:ABBY
Other - Middle Name:L
Other - Last Name:CORDREY-ALLEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:201 PINE BLUFF RD
Mailing Address - Street 2:28
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801-7163
Mailing Address - Country:US
Mailing Address - Phone:410-742-5599
Mailing Address - Fax:410-742-4873
Practice Address - Street 1:20797 PROFESSIONAL PARK BLVD
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:DE
Practice Address - Zip Code:19947-3198
Practice Address - Country:US
Practice Address - Phone:302-856-1773
Practice Address - Fax:302-756-7817
Is Sole Proprietor?:No
Enumeration Date:2009-04-27
Last Update Date:2015-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELG-0000493363LF0000X
MDAC-000690363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDMA2170277OtherSTATE OF MARYLAND
DELG-0000493OtherSTATE OF DELAWARE