Healthcare Provider Details

I. General information

NPI: 1346879145
Provider Name (Legal Business Name): ABIGAIL LYNNE URBANIK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2020
Last Update Date: 08/31/2023
Certification Date: 08/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

GEISINGER MEDICAL CENTER 100 NORTH ACADEMY AVENUE
DANVILLE PA
17822-0001
US

IV. Provider business mailing address

4280 RUPP RD
MILLERS MD
21102-2129
US

V. Phone/Fax

Practice location:
  • Phone: 570-271-6211
  • Fax:
Mailing address:
  • Phone: 443-536-7372
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD480967
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: