Doctor Name: | MS. ABIGAIL CRISMAN HO |
NPI Number: | 1124304936 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C |
License Number: | 0024169695 |
Business Practice Address: | 5645 Stone Rd Centreville, VA - 201201618 |
Business Phone Number: | 7032662442 |
Business Fax Number: | 7032667158 |
Mailing Address: | 5645 Stone Rd, CENTREVILLE |
State: | VA |
Postal Code: | 201201618 |
Phone Number: | 7032662442 |
Fax Number: | 7032667158 |
NPI Enumeration Date: | 10/25/2011 |
NPI Last Update Date: | 11/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 0024169695 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |