Provider Demographics
NPI:1265077788
Name:BRODSKY, ABIGAIL (APRN-CNP)
Entity type:Individual
Prefix:MRS
First Name:ABIGAIL
Middle Name:
Last Name:BRODSKY
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:ABIGAIL
Other - Middle Name:CATHERINE
Other - Last Name:CARLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3333 BURNET AVENUE
Mailing Address - Street 2:MLC 2021
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229-3026
Mailing Address - Country:US
Mailing Address - Phone:513-636-6771
Mailing Address - Fax:513-636-4615
Practice Address - Street 1:3333 BURNET AVENUE
Practice Address - Street 2:MLC 2021
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229-3026
Practice Address - Country:US
Practice Address - Phone:513-636-6771
Practice Address - Fax:513-636-4615
Is Sole Proprietor?:No
Enumeration Date:2019-11-07
Last Update Date:2020-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA692299163WN0002X
OHAPRN.CNP.0027178363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care