Provider Demographics
NPI:1528864758
Name:ENGLE, ABBY CATHRYN (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:ABBY
Middle Name:CATHRYN
Last Name:ENGLE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MS
Other - First Name:ABBY
Other - Middle Name:CATHRYN
Other - Last Name:CARLSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1809 CRUZ DR
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57702-4309
Mailing Address - Country:US
Mailing Address - Phone:605-430-9446
Mailing Address - Fax:
Practice Address - Street 1:216 ANAMARIA DR
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701-7366
Practice Address - Country:US
Practice Address - Phone:605-721-4700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDCP003538363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily