Provider Demographics
NPI:1023231206
Name:ENELOW, ABIGAIL (MN, ARNP)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:ENELOW
Suffix:
Gender:F
Credentials:MN, ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:424 N 68TH ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-5214
Mailing Address - Country:US
Mailing Address - Phone:206-498-6256
Mailing Address - Fax:206-895-4774
Practice Address - Street 1:424 N 68TH ST UNIT B
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-5214
Practice Address - Country:US
Practice Address - Phone:206-498-6256
Practice Address - Fax:206-895-4774
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMYERSAA440P3363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health