Provider Demographics
NPI:1245127711
Name:ANDERSON, ABBY NICOLE (MS)
Entity type:Individual
Prefix:
First Name:ABBY
Middle Name:NICOLE
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7120 CLEARVISTA DR STE 1700
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46256-1781
Mailing Address - Country:US
Mailing Address - Phone:317-621-8985
Mailing Address - Fax:
Practice Address - Street 1:7120 CLEARVISTA DR STE 1700
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46256-1781
Practice Address - Country:US
Practice Address - Phone:317-621-8985
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS