Provider Demographics
NPI:1831883032
Name:ELSBURY, ABIGAYLE
Entity type:Individual
Prefix:
First Name:ABIGAYLE
Middle Name:
Last Name:ELSBURY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10259 PORT VIEW LN
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46055-9578
Mailing Address - Country:US
Mailing Address - Phone:317-690-7016
Mailing Address - Fax:
Practice Address - Street 1:10259 PORT VIEW LN
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46055-9578
Practice Address - Country:US
Practice Address - Phone:317-690-7016
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-08
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant