Healthcare Provider Details

I. General information

NPI: 1245173533
Provider Name (Legal Business Name): ABIGAIL HANNAH MATHEWSON NP, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ABIGAIL HANNAH AUERHAHN RN

II. Dates (important events)

Enumeration Date: 04/11/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 SCIENCE PKWY STE 200
ROCHESTER NY
14620-4200
US

IV. Provider business mailing address

315 SCIENCE PKWY ENTRANCE B, SUITE 200
ROCHESTER NY
14620-4200
US

V. Phone/Fax

Practice location:
  • Phone: 585-273-5454
  • Fax: 585-271-6987
Mailing address:
  • Phone: 585-273-5454
  • Fax: 585-271-6987

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number408611
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number711260-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: