Provider Demographics
NPI:1932880150
Name:SHLESINGER, ABIGAIL LYNNE
Entity Type:Individual
Prefix:MRS
First Name:ABIGAIL
Middle Name:LYNNE
Last Name:SHLESINGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13004 NEW PARKLAND DR
Mailing Address - Street 2:
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20171-2647
Mailing Address - Country:US
Mailing Address - Phone:571-749-9116
Mailing Address - Fax:
Practice Address - Street 1:44340 PREMIER PLZ STE 230
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-5074
Practice Address - Country:US
Practice Address - Phone:703-499-4878
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-31
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program