Provider Demographics
NPI:1992445886
Name:MCNEELY, ABIGAIL MARGARET (CPNP-PC)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:MARGARET
Last Name:MCNEELY
Suffix:
Gender:F
Credentials:CPNP-PC
Other - Prefix:
Other - First Name:ABIGAIL
Other - Middle Name:MARGARET
Other - Last Name:MCLINDEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3931 LILAC RD
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-9745
Mailing Address - Country:US
Mailing Address - Phone:610-442-3088
Mailing Address - Fax:
Practice Address - Street 1:3551 N BROAD ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19140-4160
Practice Address - Country:US
Practice Address - Phone:215-430-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-30
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP021167363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics