Provider Demographics
NPI:1407683386
Name:SPIVEY, ABIGAIL ELISE
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:ELISE
Last Name:SPIVEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15333 N HAYDEN RD UNIT 3349
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-3089
Mailing Address - Country:US
Mailing Address - Phone:602-281-5093
Mailing Address - Fax:
Practice Address - Street 1:15333 N HAYDEN RD UNIT 3349
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-3089
Practice Address - Country:US
Practice Address - Phone:602-281-5093
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-16
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN13000363LF0000X
WI17089-33363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily