Provider Demographics
NPI:1457835498
Name:ABIOLA, KRIS ANTOINETTE (NP)
Entity type:Individual
Prefix:MRS
First Name:KRIS
Middle Name:ANTOINETTE
Last Name:ABIOLA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MRS
Other - First Name:KRIS
Other - Middle Name:ANTOINETTE
Other - Last Name:HOPKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:1305 YORK AVE FL 10
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-5663
Mailing Address - Country:US
Mailing Address - Phone:646-962-2185
Mailing Address - Fax:646-962-0515
Practice Address - Street 1:1305 YORK AVE FL 10
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-5663
Practice Address - Country:US
Practice Address - Phone:646-962-2185
Practice Address - Fax:646-962-0515
Is Sole Proprietor?:No
Enumeration Date:2018-09-15
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF308595363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health