Basic Information
Provider Information
NPI: 1063796126
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RIGGS
FirstName: ABIGAIL
MiddleName: LYNN
NamePrefix:  
NameSuffix:  
Credential: FPMHNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5910 COURTYARD DRIVE
Address2: SUITE 220
City: AUSTIN
State: TX
PostalCode: 78731
CountryCode: US
TelephoneNumber: 5123826359
FaxNumber: 5123826368
Practice Location
Address1: 5910 COURTYARD DRIVE
Address2: SUITE 220
City: AUSTIN
State: TX
PostalCode: 78731
CountryCode: US
TelephoneNumber: 5123826359
FaxNumber: 5123826368
Other Information
ProviderEnumerationDate: 10/06/2011
LastUpdateDate: 04/20/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LP0808X746843TXY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsych/Mental Health
364SP0808X746843TXN Physician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsych/Mental Health

No ID Information.


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