Provider Demographics
NPI:1720746183
Name:MATTHEWS, ABIGAIL ANNE (NP)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:ANNE
Last Name:MATTHEWS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:ABIGAIL
Other - Middle Name:ANNE
Other - Last Name:COURTRIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:PO BOX 14890
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12212-4890
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:377 CHURCH ST
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-8641
Practice Address - Country:US
Practice Address - Phone:518-584-4456
Practice Address - Fax:518-584-4476
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-02
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY347442363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily