Individual
ABIGAIL REARDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
800 W BURRELL DR, CROWN POINT, IN 46307-8898
(219) 663-9913
(219) 663-9923
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71006992A
IN
363LF0000X
Family Nurse Practitioner
71006992A
IN
Other
Enumeration date
04/07/2017
Last updated
03/07/2025
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