Provider Demographics
NPI:1891065785
Name:NARTKER, ABIGAIL (CNP)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:NARTKER
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 1:204 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:OH
Mailing Address - Zip Code:45817-1284
Mailing Address - Country:US
Mailing Address - Phone:419-996-5002
Mailing Address - Fax:419-996-5001
Practice Address - Street 1:204 N MAIN ST
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:OH
Practice Address - Zip Code:45817-1284
Practice Address - Country:US
Practice Address - Phone:419-996-5002
Practice Address - Fax:419-996-5001
Is Sole Proprietor?:No
Enumeration Date:2012-01-09
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.12949363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0060101Medicaid
OH0060101Medicaid
OHH109602Medicare PIN