Provider Demographics
NPI:1609233923
Name:PARKER, ABEGAIL (LPN)
Entity Type:Individual
Prefix:MRS
First Name:ABEGAIL
Middle Name:
Last Name:PARKER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14538 FRANKTON ST
Mailing Address - Street 2:
Mailing Address - City:ROSEDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11422-3338
Mailing Address - Country:US
Mailing Address - Phone:516-943-3897
Mailing Address - Fax:
Practice Address - Street 1:14538 FRANKTON ST
Practice Address - Street 2:
Practice Address - City:ROSEDALE
Practice Address - State:NY
Practice Address - Zip Code:11422-3338
Practice Address - Country:US
Practice Address - Phone:516-943-3897
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-16
Last Update Date:2016-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY313377164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse