Provider Demographics
NPI:1407231582
Name:EASTER, ABIGAIL L (CPNP)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:L
Last Name:EASTER
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 HOIAKS RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23225-4029
Mailing Address - Country:US
Mailing Address - Phone:804-320-7139
Mailing Address - Fax:804-272-1065
Practice Address - Street 1:1001 HOIAKS RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23225-4029
Practice Address - Country:US
Practice Address - Phone:804-320-7139
Practice Address - Fax:804-272-1065
Is Sole Proprietor?:No
Enumeration Date:2015-07-30
Last Update Date:2020-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024172791363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics