1013705151 NPI number — ABIGAIL SHORT DNP, AGNP-C, OCN

Table of content: ABIGAIL SHORT DNP, AGNP-C, OCN (NPI 1013705151)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013705151 NPI number — ABIGAIL SHORT DNP, AGNP-C, OCN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SHORT
Provider First Name:
ABIGAIL
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
DNP, AGNP-C, OCN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1013705151
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
120 N MEDICAL DRIVE UNC-CH SCHOOL OF NURSING
Provider Second Line Business Mailing Address:
CARRINGTON HALL
Provider Business Mailing Address City Name:
CHAPEL HILL
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27599
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
919-966-4260
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
DUKE WOMEN'S CANCER CARE RALEIGH
Provider Second Line Business Practice Location Address:
4101 MACON POND ROAD
Provider Business Practice Location Address City Name:
RALEIGH
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27607
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-781-7070
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/29/2025

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363L00000X , with the licence number: 5022363 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)