Healthcare Provider Details

I. General information

NPI: 1992445886
Provider Name (Legal Business Name): ABIGAIL MARGARET MCNEELY CPNP-PC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ABIGAIL MARGARET MCLINDEN

II. Dates (important events)

Enumeration Date: 03/30/2022
Last Update Date: 03/30/2022
Certification Date: 03/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3551 N BROAD ST
PHILADELPHIA PA
19140-4160
US

IV. Provider business mailing address

3931 LILAC RD
ALLENTOWN PA
18103-9745
US

V. Phone/Fax

Practice location:
  • Phone: 215-430-4000
  • Fax:
Mailing address:
  • Phone: 610-442-3088
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberSP021167
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: