Individual
ABBEY HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1701 N SENATE BLVD, RM AG 001, INDIANAPOLIS, IN 46202-1239
(317) 962-3886
(317) 962-8652
Mailing address
950 N MERIDIAN ST, STE 500 PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46204-3908
(317) 962-4940
(317) 962-4950
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
002385
IA
363A00000X
Physician Assistant
1102
NE
363A00000X
Physician Assistant
Primary
2496
NE
363AM0700X
Medical Physician Assistant
10001192A
IN
Other
Enumeration date
06/25/2010
Last updated
07/27/2020
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