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NPI Code Detail

MEDICARE: ABIGAIL HANNA FERRARO PA-C

MEDICARE:   ABIGAIL HANNA FERRARO  PA-C
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
1363AM0700XMedical Physician Assistant

General Provider Information

NPI Number : 1871344911
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABIGAIL HANNA FERRARO PA-C
Provider Business Mailing Address
First Line : 17500 N 67TH AVE APT 2115
Second Line :
City : GLENDALE
State : AZ
Zip : 85308-1095
Country : US
Telephone Number : 612-419-5592
Fax Number :
Provider Business Practice Location Address
First Line : 9494 W NORTHERN AVE STE 101
Second Line :
City : GLENDALE
State : AZ
Zip : 85305-1119
Country : US
Telephone Number : 623-872-2226
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2024
Last Update Date : 08/07/2024

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Directions to “ ABIGAIL HANNA FERRARO PA-C” Practice Location

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