Healthcare Provider Details

I. General information

NPI: 1871430793
Provider Name (Legal Business Name): ABIGAIL R NEES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6220 E STATE ROAD 42
CLOVERDALE IN
46120-9410
US

IV. Provider business mailing address

6220 E STATE ROAD 42
CLOVERDALE IN
46120-9410
US

V. Phone/Fax

Practice location:
  • Phone: 765-720-3773
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: