Doctor Name: | PAULINE ABATE |
NPI Number: | 1063675205 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ANP |
License Number: | 0034072105 |
Business Practice Address: | 5895 Trinity Pkwy Suite 100 Centreville, VA - 201201995 |
Business Phone Number: | 7038022004 |
Business Fax Number: | 7038022113 |
Mailing Address: | 5895 Trinity Pkwy, Suite 100 CENTREVILLE |
State: | VA |
Postal Code: | 201201995 |
Phone Number: | 7038022004 |
Fax Number: | 7038022113 |
NPI Enumeration Date: | 07/08/2008 |
NPI Last Update Date: | 07/08/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 0034072105 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |