Provider Demographics
NPI:1669043659
Name:ALGER, ABIGAYLE LYNN (DNP, RN, PNP-AC)
Entity Type:Individual
Prefix:
First Name:ABIGAYLE
Middle Name:LYNN
Last Name:ALGER
Suffix:
Gender:F
Credentials:DNP, RN, PNP-AC
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Mailing Address - Street 1:518 DEVILLEN AVE
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48073-3652
Mailing Address - Country:US
Mailing Address - Phone:801-828-0295
Mailing Address - Fax:
Practice Address - Street 1:3901 BEAUBIEN ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201-2119
Practice Address - Country:US
Practice Address - Phone:313-745-5437
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-09
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4704330917363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatricsGroup - Multi-Specialty