Provider Demographics
NPI:1942680210
Name:ABITIA, NANCY (MSW)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:
Last Name:ABITIA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2635 VERDE DR
Mailing Address - Street 2:APARTMENT # 101
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80910-2175
Mailing Address - Country:US
Mailing Address - Phone:719-358-6787
Mailing Address - Fax:
Practice Address - Street 1:2635 VERDE DR
Practice Address - Street 2:APARTMENT # 101
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80910-2175
Practice Address - Country:US
Practice Address - Phone:719-358-6787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-02
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health