Provider Demographics
NPI:1003642463
Name:STINGLEY-HERRERA, ABIGAIL HANNAH
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:HANNAH
Last Name:STINGLEY-HERRERA
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 1:9725 PIGEON PASS RD
Mailing Address - Street 2:
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92557-1902
Mailing Address - Country:US
Mailing Address - Phone:951-312-9913
Mailing Address - Fax:
Practice Address - Street 1:9725 PIGEON PASS RD
Practice Address - Street 2:
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92557-1902
Practice Address - Country:US
Practice Address - Phone:951-312-9913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-11
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula