Provider Demographics
NPI:1750436408
Name:HEIN, ABBY LEE (PA)
Entity type:Individual
Prefix:
First Name:ABBY
Middle Name:LEE
Last Name:HEIN
Suffix:
Gender:F
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 E JEFFERSON ST STE 400
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52245-2479
Mailing Address - Country:US
Mailing Address - Phone:319-337-5997
Mailing Address - Fax:319-358-2665
Practice Address - Street 1:540 E JEFFERSON ST STE 400
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52245-2479
Practice Address - Country:US
Practice Address - Phone:319-337-5997
Practice Address - Fax:319-358-2665
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL085.003968363A00000X
IA001766363A00000X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA001766OtherSTATE OF IOWA DEPT OF PUBLIC HEALTH