person
Scott T Fairhurst
Family Nurse Practitioner in Dyer, Indiana
NPI 1073086252

Scott T Fairhurst is a Family Nurse Practitioner based in Detroit, IN and is specialized in Family. Scott T Fairhurst practices in Dyer, IN. The NPI Number for Scott T Fairhurst is 1073086252 and holds a License No. 71008681A (Indiana).

The current practice location address for Scott T Fairhurst is 24 Joliet St, Dyer, IN and can be reached out via phone at 219-865-2141 and via fax at 219-852-2502. You can also correspond with Scott T Fairhurst through the mailing address at PO BOX 781076, DETROIT, MI - 48278-1076 (mailing address contact number: 317-528-4800).

Location: 24 Joliet St, Dyer, IN, 48278-1076
person
Provider Profile Details
NPI Number
1073086252
Provider Name
Scott T Fairhurst
Credential
Provider Entity Type
Individual
Gender
Male
Address
24 Joliet St, Dyer, IN, 48278-1076
Phone Number
219-865-2141
Fax Number
219-852-2502
Provider Enumeration Date
01/10/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
24 Joliet St
City
State
Zip
46311-1705
Phone Number
219-865-2141
Fax Number
219-852-2502
person
Provider Business Mailing Address Details
Address
24 Joliet St
City
State
Zip
46311-1705
Phone Number
219-865-2141
Fax Number
219-852-2502
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71008681A (Indiana)
Definition
Definition to come...
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