Provider Demographics
NPI:1902560410
Name:FRANCISCO, ABIGAIL KRISTINE RIVERA (CRNP)
Entity Type:Individual
Prefix:
First Name:ABIGAIL KRISTINE
Middle Name:RIVERA
Last Name:FRANCISCO
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:470 BERMUDIAN CREEK RD
Mailing Address - Street 2:
Mailing Address - City:EAST BERLIN
Mailing Address - State:PA
Mailing Address - Zip Code:17316-9623
Mailing Address - Country:US
Mailing Address - Phone:717-432-1543
Mailing Address - Fax:
Practice Address - Street 1:470 BERMUDIAN CREEK RD
Practice Address - Street 2:
Practice Address - City:EAST BERLIN
Practice Address - State:PA
Practice Address - Zip Code:17316-9623
Practice Address - Country:US
Practice Address - Phone:717-432-1543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-30
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN715996163WP0200X
PASP027118363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163WP0200XNursing Service ProvidersRegistered NursePediatrics