Individual
ABIGAIL HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1011 MAIN ST, SUITE 140, INDIANAPOLIS, IN 46224-6977
(317) 957-9000
(317) 957-9950
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
00000000A
IN
363AM0700X
Medical Physician Assistant
Primary
10001897A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201321060
—
IN
Enumeration date
07/29/2015
Last updated
12/09/2024
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