Healthcare Provider Details

I. General information

NPI: 1508239534
Provider Name (Legal Business Name): ABIGAIL LYNN SCHELLHAMMER NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/13/2015
Last Update Date: 03/25/2022
Certification Date: 03/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2316 S CEDAR ST
LANSING MI
48910-3152
US

IV. Provider business mailing address

5303 S CEDAR ST
LANSING MI
48911-3800
US

V. Phone/Fax

Practice location:
  • Phone: 517-887-4302
  • Fax: 517-887-4437
Mailing address:
  • Phone: 517-887-4302
  • Fax: 517-887-4437

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number4704250812
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: