Healthcare Provider Details

I. General information

NPI: 1336071695
Provider Name (Legal Business Name): ABIGAEL CHRISTINA MCENROE PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8240 NAAB RD
INDIANAPOLIS IN
46260-5927
US

IV. Provider business mailing address

5858 N COLLEGE AVE APT 226
INDIANAPOLIS IN
46220-3597
US

V. Phone/Fax

Practice location:
  • Phone: 317-306-5588
  • Fax:
Mailing address:
  • Phone: 412-580-9930
  • 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: