Healthcare Provider Details

I. General information

NPI: 1124940242
Provider Name (Legal Business Name): ABBIGAIL POOR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 HUDSON RD
CEDAR FALLS IA
50614-0014
US

IV. Provider business mailing address

2117 COLLEGE ST APT 95
CEDAR FALLS IA
50613-3690
US

V. Phone/Fax

Practice location:
  • Phone: 916-751-8911
  • Fax:
Mailing address:
  • Phone: 916-751-8911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: