Provider Demographics
NPI:1871344911
Name:FERRARO, ABIGAIL HANNA (PA-C)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:HANNA
Last Name:FERRARO
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:17500 N 67TH AVE APT 2115
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-1095
Mailing Address - Country:US
Mailing Address - Phone:612-419-5592
Mailing Address - Fax:
Practice Address - Street 1:9494 W NORTHERN AVE STE 101
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85305-1119
Practice Address - Country:US
Practice Address - Phone:623-872-2226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-28
Last Update Date:2024-08-07
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical