MEDICARE: MICHELE ABANG

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	374U00000X	Home Health Aide	601561131020	OH
2	164W00000X	Licensed Practical Nurse	LPN.184332.MEDS-IV	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	920312938	OTHER	OH	NOT AVAILABLE

General Provider Information

NPI Number	:	1912620931
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELE ABANG

Provider Business Mailing Address
First Line	:	2169 YORKHULL LN
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43229-3954
Country	:	US
Telephone Number	:	614-636-8548
Fax Number	:

Provider Business Practice Location Address
First Line	:	2169 YORKHULL LN
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43229-3954
Country	:	US
Telephone Number	:	614-636-8548
Fax Number	:

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

Provider Enumeration Date	:	09/23/2022
Last Update Date	:	02/22/2023

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Directions to “ MICHELE ABANG ” Practice Location

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