Healthcare Provider Details

I. General information

NPI: 1588584817
Provider Name (Legal Business Name): ABIGAIL ELIZABETH HARRISON CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 OAK ST
PITTSTON PA
18640-3798
US

IV. Provider business mailing address

100 N ACADEMY AVE
DANVILLE PA
17822-4903
US

V. Phone/Fax

Practice location:
  • Phone: 570-808-9800
  • Fax: 814-359-7611
Mailing address:
  • Phone: 570-808-9800
  • Fax: 814-359-7611

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP036490
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: