Provider Demographics
NPI:1356901573
Name:KRICK, ABAGAIL ROSETTE (FNP-C)
Entity type:Individual
Prefix:
First Name:ABAGAIL
Middle Name:ROSETTE
Last Name:KRICK
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2625 N KING ST
Mailing Address - Street 2:
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86004-1884
Mailing Address - Country:US
Mailing Address - Phone:928-679-7222
Mailing Address - Fax:928-679-7351
Practice Address - Street 1:2625 N KING ST
Practice Address - Street 2:
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86004-1884
Practice Address - Country:US
Practice Address - Phone:928-679-7222
Practice Address - Fax:928-679-7351
Is Sole Proprietor?:No
Enumeration Date:2019-06-19
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ231804363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily