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NPI Code Detail

MEDICARE: HEATHER ABBOTT NP

MEDICARE: HEATHER ABBOTT NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP2300XPrimary Care Nurse Practitioner28184123AIN

General Provider Information

NPI Number : 1609301282
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER ABBOTT NP
Provider Business Mailing Address
First Line : 2485 DIRECTORS ROW STE D
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46241-4907
Country : US
Telephone Number : 317-941-7338
Fax Number :
Provider Business Practice Location Address
First Line : 2485 DIRECTORS ROW STE D
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46241-4907
Country : US
Telephone Number : 317-941-7338
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2017
Last Update Date : 02/05/2024

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