JOANNE H ABEGGLEN


Address: 471 E Kays Cir, Washington, UT 84780-2162
Phone: 4357054311

JOANNE H ABEGGLEN (NPI# 1104909878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104909878
Entity Type Individual
Full Name JOANNE H ABEGGLEN
Credential N.P.
Practice Address 471 E Kays Cir
Washington
UT 84780-2162
Practice Telephone 4357054311
Practice Fax Number 4352134186
Mailing Telephone 4357054311
Mailing Fax Number 4352134186
Enumeration Date 2006-10-24
Last Update Date 2011-08-23
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
4810573-4405 UT Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
PTAN 4000073609 01

Office Location

Street Address 471 E KAYS CIR
City WASHINGTON
State UT
Zip Code 84780-2162

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851690572 Advanced Clinical Services LLC Clinic/Center 471 E Kays Cir, Washington, UT 84780-2162 2011-03-21

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City WASHINGTON
Zip Code 84780

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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