Basic Information
| Provider Information | |||||||||
| NPI: | 1962074948 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CHUA | ||||||||
| FirstName: | ABIGAIL | ||||||||
| MiddleName: | ASHLEY | ||||||||
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| Credential: | RNSA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3310 CARDIFF AVE APT 103 | ||||||||
| Address2: | |||||||||
| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452091375 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7148698056 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 234 GOODMAN ST | ||||||||
| Address2: | |||||||||
| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452192364 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5135841000 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/11/2021 | ||||||||
| LastUpdateDate: | 07/11/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/11/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | 0001268548 | VA | N | Nursing Service Providers | Registered Nurse | 163W00000X | 799426 | CA | N | Nursing Service Providers | Registered Nurse | 163W00000X | RN.467968 | OH | Y | Nursing Service Providers | Registered Nurse |
No ID Information.