1457588501 NPI number — MS. DEBORAH ABBONIZIO CRNP

Table of content: MS. DEBORAH ABBONIZIO CRNP (NPI 1457588501)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1457588501 NPI number — MS. DEBORAH ABBONIZIO CRNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ABBONIZIO
Provider First Name:
DEBORAH
Provider Middle Name:
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
CRNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ABBONIZIO
Provider Other First Name:
DEBBIE
Provider Other Middle Name:
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
FNP-CRNP
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1457588501
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/07/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
128 REDSTONE DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WARRINGTON
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18976-2440
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-491-2487
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1616 HUNTINGDON PIKE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MEADOWBROOK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19046-8001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-938-4200
Provider Business Practice Location Address Fax Number:
215-914-4749
Provider Enumeration Date:
06/16/2009

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: 363LF0000X , with the licence number:  SP007343 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: NONE . This is a "NONE" identifier . This identifiers is of the category "OTHER".