Provider Demographics
NPI:1821677683
Name:SMILEY, ABIGAIL (BSN, RN)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:SMILEY
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:511 FOCH ST
Mailing Address - Street 2:
Mailing Address - City:ELLWOOD CITY
Mailing Address - State:PA
Mailing Address - Zip Code:16117-1219
Mailing Address - Country:US
Mailing Address - Phone:724-614-3402
Mailing Address - Fax:
Practice Address - Street 1:115 5TH ST
Practice Address - Street 2:
Practice Address - City:ELLWOOD CITY
Practice Address - State:PA
Practice Address - Zip Code:16117-2303
Practice Address - Country:US
Practice Address - Phone:724-758-3294
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-07
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN721834163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse