Provider Demographics
NPI:1730990086
Name:LEVINS, ABIGAIL ROSE (PA-C)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:ROSE
Last Name:LEVINS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 W TELEGRAPH ST
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89703-4146
Mailing Address - Country:US
Mailing Address - Phone:775-671-0182
Mailing Address - Fax:
Practice Address - Street 1:700 W TELEGRAPH ST
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89703-4146
Practice Address - Country:US
Practice Address - Phone:775-671-0182
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-16
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant