Healthcare Provider Details

I. General information

NPI: 1891065785
Provider Name (Legal Business Name): ABIGAIL NARTKER CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/09/2012
Last Update Date: 10/18/2024
Certification Date: 10/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

204 N MAIN ST
BLUFFTON OH
45817-1284
US

IV. Provider business mailing address

204 N MAIN ST
BLUFFTON OH
45817-1284
US

V. Phone/Fax

Practice location:
  • Phone: 419-996-5002
  • Fax: 419-996-5001
Mailing address:
  • Phone: 419-996-5002
  • Fax: 419-996-5001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.12949
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: