Boris, Abigail G

Boris, Abigail G is an individual health care provider with primary practice located at 3834 S Emerson Ave Bldg C Ste 100, Indianapolis IN 46203. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Boris, Abigail G can be contacted via phone (317) 782-1577.

Contact Information

Primary practice address
3834 S Emerson Ave Bldg C Ste 100 Indianapolis IN 46203
Phone: (317) 782-1577
Fax: (888) 366-7577
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 28191010A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 71007760A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 71007760A Indiana

Profile Details

NPI number 1114464575
LBN Legal business name Boris, Abigail G
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2017
Last updated Aug 2nd, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114464575 NPPES
Indiana MEDICAID 300011112

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