Provider Demographics
NPI:1750436408
Name:HEIN, ABBY LEE (PA)
Entity type:Individual
Prefix:
First Name:ABBY
Middle Name:LEE
Last Name:HEIN
Suffix:
Gender:
Credentials:PA
Other - Prefix:
Other - First Name:ABBY
Other - Middle Name:LEE
Other - Last Name:EILBECK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:540 EAST JEFFERSON ST, STE 400
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52245-9509
Mailing Address - Country:US
Mailing Address - Phone:319-339-0300
Mailing Address - Fax:
Practice Address - Street 1:540 EAST JEFFERSON ST STE 400
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52245
Practice Address - Country:US
Practice Address - Phone:319-339-0300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL085.003968363A00000X
IA1766363AM0700X
IA001766363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA001766OtherSTATE OF IOWA DEPT OF PUBLIC HEALTH