Healthcare Provider Details

I. General information

NPI: 1366364531
Provider Name (Legal Business Name): ABIGAIL LIEBERMAN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 NEWTOWN RD FL 3
WARMINSTER PA
18974-5221
US

IV. Provider business mailing address

530 ANDREW RD
HUNTINGDON VALLEY PA
19006-2315
US

V. Phone/Fax

Practice location:
  • Phone: 215-441-6776
  • Fax: 215-441-6744
Mailing address:
  • Phone: 215-880-3599
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN709209
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: