Provider Demographics
NPI:1588236608
Name:LANGENSTEIN, ABIGAIL ANN (NP)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:ANN
Last Name:LANGENSTEIN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:ABIGAIL
Other - Middle Name:ANN
Other - Last Name:MCNAMEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:1100 SOUTHFIELD DR STE 1210
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46168-4499
Mailing Address - Country:US
Mailing Address - Phone:317-839-9833
Mailing Address - Fax:317-839-7549
Practice Address - Street 1:1100 SOUTHFIELD DR STE 1210
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IN
Practice Address - Zip Code:46168-4499
Practice Address - Country:US
Practice Address - Phone:317-839-9833
Practice Address - Fax:317-839-7549
Is Sole Proprietor?:No
Enumeration Date:2021-07-16
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71011391A363LF0000X
INF06212366363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily