National Provider Identifier

Abigail Naomi Wilson, NP

Abigail Naomi Wilson, NP is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Brockport, NY and a listed phone number of (585) 481-7215.

NPI 1326630096Brockport, NYNurse Practitioner

Profile Overview

NPI
1326630096
Provider Type
Individual
Primary Specialty
Nurse Practitioner
Enumeration Date
February 04, 2021
Last Updated
February 04, 2021

Practice Location

  • 362 Gilmore RD
  • Brockport, NY 14420-9313

Phone: (585) 481-7215

Specialties

  • Nurse Practitioner (363L00000X)
Full Record
NPI
1326630096
Entity Type
Individual
Last Name
Wilson
First Name
Abigail
Middle Name
Naomi
Credential
NP
Mailing Street Address
362 Gilmore RD
Mailing City
Brockport
Mailing State
NY
Mailing ZIP Code
14420-9313
Mailing Country
US
Mailing Phone
(585) 481-7215
Practice Street Address
362 Gilmore RD
Practice City
Brockport
Practice State
NY
Practice ZIP Code
14420-9313
Practice Country
US
Practice Phone
(585) 481-7215
Enumeration Date
February 04, 2021
Last Updated
February 04, 2021
Sex
Female
Sole Proprietor
No
Certification Date
February 04, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Nurse Practitioner (363L00000X)