MS. KIMBERLY BETH ABDOW N.P. NPI 1003007477

Clinical Nurse Specialist (Family Health) in Worcester, MA

About KIMBERLY ABDOW

Kimberly Abdow is a provider in Worcester, MA with more than 15 years of experience. The NPI number assigned to this provider is 1003007477. The practitioner's primary taxonomy code is Clinical Nurse Specialist (364SF0001X). The provider is registered as an individual and their NPI record was last updated 2 years ago. Kimberly Abdow is registered with Medicare and accepts claims assignment.

NPI1003007477 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameMS. KIMBERLY BETH ABDOW N.P.
Provider Location Address202 RUSSELL ST WORCESTER, MA 01609 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address202 RUSSELL ST WORCESTER, MA 01609 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderFemale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Medical School NameOTHER
Graduation Year2003
Is Sole Proprietor?Yes
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date08-09-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date04-26-2016 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

MS. KIMBERLY BETH ABDOW N.P.
202 RUSSELL ST
WORCESTER, MA
ZIP 01609
Phone: (508) 753-5554
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Mailing Address

MS. KIMBERLY BETH ABDOW N.P.
202 RUSSELL ST
WORCESTER, MA
ZIP 01609
Phone: (508) 753-5554

Primary Taxonomy

Taxonomy Code364SF0001X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationClinical Nurse Specialist
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationFamily Health
License No.206917
License StateMA

Map Location


MS. KIMBERLY BETH ABDOW N.P. address is 202 RUSSELL ST WORCESTER, MA 01609

Other Providers at the same location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1093985970MR. MICHAEL S PIZZA APRN, BC
Individual
Registered Nurse (Psych/Mental Health, Adult)202 RUSSELL ST
WORCESTER, MA 01609
(978) 937-1521
1174594568 ERIK D. NELSON PSY.D.
Individual
Psychologist (Clinical)202 RUSSELL ST
WORCESTER, MA 01609
(508) 363-4664
1346397437BEHAVIORAL HEALTHCARE SERVICES
Organization
Psychiatry & Neurology (Psychiatry)202 RUSSELL ST
WORCESTER, MA 01609
(508) 753-5554
1396848404 GWEN E. CARELLI LMHC
Individual
Counselor (Mental Health)202 RUSSELL ST
WORCESTER, MA 01609
(508) 753-5554
1487754974 AMJAD BAHNASSI M.D.
Individual
Psychiatry & Neurology (Psychiatry)202 RUSSELL ST
WORCESTER, MA 01609
(508) 753-5554
1689701351 DIANE FOUGERE LICSW
Individual
Social Worker202 RUSSELL ST
WORCESTER, MA 01609
(508) 797-7128
1831531243 MICHAELA DUMAIS PMHNP
Individual
Nurse Practitioner (Psych/Mental Health)202 RUSSELL ST
WORCESTER, MA 01609
(508) 753-5554