Provider Demographics
NPI:1558911263
Name:SCHWARTZ, ABIGAIL MYREE (CPNP)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:MYREE
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:ABIGAIL
Other - Middle Name:MYREE
Other - Last Name:NOBLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CPNP
Mailing Address - Street 1:4404 CARY STREET RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23221-2521
Mailing Address - Country:US
Mailing Address - Phone:540-521-7474
Mailing Address - Fax:
Practice Address - Street 1:4687 POUNCEY TRACT RD
Practice Address - Street 2:
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23059-5802
Practice Address - Country:US
Practice Address - Phone:804-422-5437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-14
Last Update Date:2019-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024177873363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics