MEDICARE: ABAIGEAL PILLING APRN, FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	643874	NY
2	363LF0000X	Family Nurse Practitioner	F350119	NY

General Provider Information

NPI Number	:	1164187092
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABAIGEAL PILLING APRN, FNP-BC

Provider Business Mailing Address
First Line	:	2232 LYELL AVE
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14606-5720
Country	:	US
Telephone Number	:	585-417-4125
Fax Number	:

Provider Business Practice Location Address
First Line	:	2232 LYELL AVE
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14606-5720
Country	:	US
Telephone Number	:	585-417-4125
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/04/2021
Last Update Date	:	03/03/2023

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