Healthcare Provider Details

I. General information

NPI: 1497341697
Provider Name (Legal Business Name): ABIGAIL MARGARET WOJCIECHOWSKI FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2020
Last Update Date: 12/12/2020
Certification Date: 12/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

831 30TH ST S APT C7
BIRMINGHAM AL
35205-1021
US

IV. Provider business mailing address

831 30TH ST S APT C7
BIRMINGHAM AL
35205-1021
US

V. Phone/Fax

Practice location:
  • Phone: 256-509-2059
  • Fax:
Mailing address:
  • Phone: 256-509-2059
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF09201227
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: