NPI 1669074456 · live from the CMS NPI Registry
Alyssa Abbott, CRNP
Nurse Practitioner, Family in Hermitage, PA. National Provider Identifier 1669074456, active.
NPI record
| NPI | 1669074456 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 220 N Buhl Farm Dr, Hermitage, PA 16148 |
| Practice phone | 724-342-2789 |
| Mailing address | 2134 Hazen Rd, Hermitage, PA 16148 |
| Enumerated | November 16, 2020 |
| Last updated | May 6, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | RN662193 (PA) |
| Nurse Practitioner, Family primary | 363LF0000X | SP022907 (PA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.