Individual
ABIGAIL RIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7120 CLEARVISTA DR STE 2000, INDIANAPOLIS, IN 46256-1548
(317) 621-7120
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10004653A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300099281
—
IN
Enumeration date
07/18/2022
Last updated
12/05/2024
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