Healthcare Provider Details

I. General information

NPI: 1417716572
Provider Name (Legal Business Name): ABIGAIL MAIRE BRUEGGMAN MSN- RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2024
Last Update Date: 04/23/2025
Certification Date: 03/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9100 BABCOCK BLVD
PITTSBURGH PA
15237-5815
US

IV. Provider business mailing address

224 DELANO DR
PITTSBURGH PA
15236-4408
US

V. Phone/Fax

Practice location:
  • Phone: 412-651-7011
  • Fax:
Mailing address:
  • Phone: 412-651-7011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License NumberRN769724
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: