Provider Demographics
NPI:1932893773
Name:HERRS, ABIGAIL JULIANNE (PA)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:JULIANNE
Last Name:HERRS
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1020 N WOODRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67206-4109
Mailing Address - Country:US
Mailing Address - Phone:316-833-4299
Mailing Address - Fax:
Practice Address - Street 1:1020 N WOODRIDGE DR
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67206-4109
Practice Address - Country:US
Practice Address - Phone:316-833-4299
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-05
Last Update Date:2024-01-11
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant