Individual
ABIGAIL L DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 751-1720
(765) 281-6567
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10002303A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001119948
ANTHEM PTAN
IN
01
—
000001119950
ANTHEM PTAN
IN
01
—
000001462184
ANTHEM PTAN
IN
05
—
300006982
—
IN
01
—
Q00446147
RAILROAD PTAN
IN
Enumeration date
09/27/2017
Last updated
12/16/2024
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