Provider Demographics
NPI:1568986339
Name:RICHMAN, ABIGAIL MAE (FNP)
Entity Type:Individual
Prefix:MS
First Name:ABIGAIL
Middle Name:MAE
Last Name:RICHMAN
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 1:260 ASPINWALL AVE # 1
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445-6901
Mailing Address - Country:US
Mailing Address - Phone:860-707-4568
Mailing Address - Fax:
Practice Address - Street 1:65 WALNUT ST STE 500
Practice Address - Street 2:
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02481-2112
Practice Address - Country:US
Practice Address - Phone:781-431-2345
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-02
Last Update Date:2017-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2306071363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care