Provider Demographics
NPI:1881328375
Name:WOODRING, ABBIGAIL KATHLEEN
Entity type:Individual
Prefix:
First Name:ABBIGAIL
Middle Name:KATHLEEN
Last Name:WOODRING
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 1:2701 SHILLINGTON RD STE 100
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19608-1732
Mailing Address - Country:US
Mailing Address - Phone:484-619-0820
Mailing Address - Fax:
Practice Address - Street 1:2701 SHILLINGTON RD STE 100
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19608-1732
Practice Address - Country:US
Practice Address - Phone:484-822-6170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-12
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA063699363AM0700X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical