Provider Demographics
NPI:1528454584
Name:ALLEN, ABBY ELIZABETH (PA-C)
Entity type:Individual
Prefix:MRS
First Name:ABBY
Middle Name:ELIZABETH
Last Name:ALLEN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:ABBY
Other - Middle Name:ELIZABETH
Other - Last Name:TERRILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:507 S MONROE ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:WI
Mailing Address - Zip Code:53813-2054
Mailing Address - Country:US
Mailing Address - Phone:608-723-2131
Mailing Address - Fax:608-723-2707
Practice Address - Street 1:507 S MONROE ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:WI
Practice Address - Zip Code:53813-2054
Practice Address - Country:US
Practice Address - Phone:608-723-2131
Practice Address - Fax:608-723-2707
Is Sole Proprietor?:No
Enumeration Date:2015-04-07
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3509-23363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant