Individual provider · NPI-1

Alexandra Rose Abbey, PA-C

Physician Assistant · Indianapolis, IN

NPI number1124820113
StatusActive
Last updated in NPPESMay 19, 2025

Details

NPI
1124820113
Entity type
Individual (NPI-1)
Name
Alexandra Rose Abbey
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Mar 27, 2025
Certification date
May 19, 2025
Last updated
May 19, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant10004827AINYes
363A00000X Physician Assistant––

Practice location

705 Riley Hospital Dr
Indianapolis, IN 46202-5109

Phone 317-944-5611 · Fax 317-944-3107

Mailing address

Po Box 778912
Chicago, IL 60677-8912

Phone 317-777-6435

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