Basic Information
Provider Information
NPI: 1427795491
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NARKIEWICZ
FirstName: ABIGAIL
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: FNP
OtherOrganizationName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 100 PARK STREET
Address2: GLENS FALLS HOSPITAL-CREDENTIALING
City: GLENS FALLS
State: NY
PostalCode: 128014413
CountryCode: US
TelephoneNumber: 5189266992
FaxNumber: 5189266983
Practice Location
Address1: 79 NORTH STREET
Address2: GRANVILLE MEDICAL CENTER
City: GRANVILLE
State: NY
PostalCode: 128321137
CountryCode: US
TelephoneNumber: 5186420612
FaxNumber: 5186420693
Other Information
ProviderEnumerationDate: 05/19/2022
LastUpdateDate: 08/15/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/15/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
363LF0000XF349931NYY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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