Most Relevant Information
Provider Data
| NPI Number: | 1003641283 |
| Provider Name: | ABIGAIL KOZHUHAROV |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2100X |
| Specialty: | Nurse Practitioner |
| License Number: | LP-0010807 |
Most Important Dates
| Enumeration Date: | 09/05/2024 |
| Last Updated: | 10/10/2024 |
Provider Practice Location
640 S STATE ST
DOVER
DE
199013530
Practice Location Phone/Fax
| Phone: | 3026744700 |
| Fax: |
Provider Mailing Location
423 SILO RD
NEW CASTLE
DE
197205643
Provider Mailing Phone/Fax
| Phone: | 4433501900 |
| Fax: |