Provider Demographics
NPI:1770182578
Name:NAEGELE, ABIGAIL MORGAN
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:MORGAN
Last Name:NAEGELE
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 1:9604 COUNTY ROAD 107 UNIT 26
Mailing Address - Street 2:
Mailing Address - City:PROCTORVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45669-8023
Mailing Address - Country:US
Mailing Address - Phone:304-972-7237
Mailing Address - Fax:
Practice Address - Street 1:9604 COUNTY ROAD 107 UNIT 26
Practice Address - Street 2:
Practice Address - City:PROCTORVILLE
Practice Address - State:OH
Practice Address - Zip Code:45669-8023
Practice Address - Country:US
Practice Address - Phone:304-972-7237
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-22
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program