Healthcare Provider Details

I. General information

NPI: 1780217513
Provider Name (Legal Business Name): ABIGAIL DREW POTHEN WHNP, APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ABIGAIL DREW RICHARDSON WHNP, APRN

II. Dates (important events)

Enumeration Date: 02/20/2020
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

195 PAGE MILL RD STE 103
PALO ALTO CA
94306-2073
US

IV. Provider business mailing address

195 PAGE MILL RD STE 103
PALO ALTO CA
94306-2073
US

V. Phone/Fax

Practice location:
  • Phone: 888-731-8994
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberRN231880
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number27410
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: