Provider Demographics
NPI:1831915370
Name:YAZZIE, ABIGAIL (CNP)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:YAZZIE
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8725 ALAMEDA PARK DR NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87113-2475
Mailing Address - Country:US
Mailing Address - Phone:505-828-0232
Mailing Address - Fax:833-973-4751
Practice Address - Street 1:8725 ALAMEDA PARK DR NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87113-2475
Practice Address - Country:US
Practice Address - Phone:505-828-0232
Practice Address - Fax:833-973-4751
Is Sole Proprietor?:No
Enumeration Date:2024-12-02
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM81428363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily