Healthcare Provider Details

I. General information

NPI: 1285557751
Provider Name (Legal Business Name): ABIGAIL MARGUERITE WOLFE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1717 SKYLINE DR
PITTSBURGH PA
15227-1744
US

IV. Provider business mailing address

1000 OLD STATION RD APT 1105
CRANBERRY TWP PA
16066-1809
US

V. Phone/Fax

Practice location:
  • Phone: 412-885-8400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDN007979
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: