Provider Demographics
NPI:1558850586
Name:ABEJAN, NANCY ATAY
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:ATAY
Last Name:ABEJAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1070 NC HIGHWAY 141 APT 4
Mailing Address - Street 2:
Mailing Address - City:MURPHY
Mailing Address - State:NC
Mailing Address - Zip Code:28906-6879
Mailing Address - Country:US
Mailing Address - Phone:954-298-8425
Mailing Address - Fax:
Practice Address - Street 1:145 MEDICAL PARK LN
Practice Address - Street 2:
Practice Address - City:MURPHY
Practice Address - State:NC
Practice Address - Zip Code:28906-6872
Practice Address - Country:US
Practice Address - Phone:828-389-3608
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-04
Last Update Date:2018-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC178032251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics