Provider Demographics
NPI:1255998472
Name:ALFT, ABIGAIL (PA)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:ALFT
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:ABBY
Other - Middle Name:
Other - Last Name:ALFT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:401 W MOHAWK DR
Mailing Address - Street 2:
Mailing Address - City:TOMAHAWK
Mailing Address - State:WI
Mailing Address - Zip Code:54487-2274
Mailing Address - Country:US
Mailing Address - Phone:715-453-7200
Mailing Address - Fax:
Practice Address - Street 1:401 W MOHAWK DR
Practice Address - Street 2:
Practice Address - City:TOMAHAWK
Practice Address - State:WI
Practice Address - Zip Code:54487-2274
Practice Address - Country:US
Practice Address - Phone:715-453-7200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-22
Last Update Date:2020-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant