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NPI Code Detail

MEDICARE: ABIGAIL CLARA HENDRICKS

MEDICARE: ABIGAIL CLARA HENDRICKS
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1760182299
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABIGAIL CLARA HENDRICKS
Provider Business Mailing Address
First Line : 2526 SEYMOUR AVE
Second Line :
City : CHEYENNE
State : WY
Zip : 82001-3159
Country : US
Telephone Number : 307-634-9653
Fax Number :
Provider Business Practice Location Address
First Line : 2526 SEYMOUR AVE
Second Line :
City : CHEYENNE
State : WY
Zip : 82001-3159
Country : US
Telephone Number : 307-634-9653
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2023
Last Update Date : 12/08/2025

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Directions to “ ABIGAIL CLARA HENDRICKS ” Practice Location

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