Provider Demographics
NPI:1154937233
Name:LOSCO, ABBY NICOLE (PA-C)
Entity type:Individual
Prefix:
First Name:ABBY
Middle Name:NICOLE
Last Name:LOSCO
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 1:1012 DUKE ST
Mailing Address - Street 2:
Mailing Address - City:ALIQUIPPA
Mailing Address - State:PA
Mailing Address - Zip Code:15001-4580
Mailing Address - Country:US
Mailing Address - Phone:724-480-7046
Mailing Address - Fax:
Practice Address - Street 1:1012 DUKE ST
Practice Address - Street 2:
Practice Address - City:ALIQUIPPA
Practice Address - State:PA
Practice Address - Zip Code:15001-4580
Practice Address - Country:US
Practice Address - Phone:724-480-7046
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-23
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant