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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. ABIGAIL BOETHIN, P.A.-C

Active

MRS. ABIGAIL BOETHIN, P.A.-C is a Physician Assistant healthcare provider located in URBANA, Illinois. NPI 1023369212 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · URBANA, IL

Registration Details

NPI Number
1023369212
Provider Type
Individual
Gender
Female
NPI Issued
Sep 27, 2012 (13.861253045426 yrs)
Last Updated
Jun 11, 2021
Licenses
2012033522 (MO)
2012033522 (MO)
2012033522 (MO)
085007968 (IL)

Practice Information

Address
611 W PARK ST
FAPC
URBANA, IL, 61801
Browse IL providers · Browse ZIP 61801
Phone
2179047000
Fax
2179047748
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Medical Physician Assistant
Additional Specialty
Surgical Physician Assistant
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in URBANA, IL

Name Credential NPI
RICHARD OFFENBACK JR. PA 1871584920
THOMAS MCCALL PA-C 1639148257
TERI D WEIR PA 1679598031
ERIC KUCHEFSKI PA 1194895821
HOSHANG IRANI PA 1033270954
JAMES S PHARES PA 1659417293
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.