Provider Demographics
NPI:1700094893
Name:REESE, ABIGAIL LEIGH (CNM)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:LEIGH
Last Name:REESE
Suffix:
Gender:F
Credentials:CNM
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Other - First Name:
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Mailing Address - Street 1:2211 LOMAS BLVD NE
Mailing Address - Street 2:ACC-4
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87106-2745
Mailing Address - Country:US
Mailing Address - Phone:505-272-2245
Mailing Address - Fax:505-272-6385
Practice Address - Street 1:2211 LOMAS BLVD NE
Practice Address - Street 2:ACC-4
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87106-2745
Practice Address - Country:US
Practice Address - Phone:505-272-2245
Practice Address - Fax:505-272-6385
Is Sole Proprietor?:No
Enumeration Date:2007-05-20
Last Update Date:2011-11-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NM587367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife