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NPI Code Detail

MEDICARE: ABIGAYLE NIMMICH

MEDICARE: ABIGAYLE NIMMICH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologistA01167MD

General Provider Information

NPI Number : 1144164534
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABIGAYLE NIMMICH
Provider Business Mailing Address
First Line : 12501 PROSPERITY DR STE 310
Second Line :
City : SILVER SPRING
State : MD
Zip : 20904-1699
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12501 PROSPERITY DR STE 310
Second Line :
City : SILVER SPRING
State : MD
Zip : 20904-1699
Country : US
Telephone Number : 410-343-9756
Fax Number : 410-630-7096
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2026
Last Update Date : 04/16/2026

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Directions to “ ABIGAYLE NIMMICH ” Practice Location

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