person
Lora Fathauer, MSN,NP-C
Adult Health Nurse Practitioner in Columbus, Indiana
NPI 1700853942

Lora Fathauer is an Adult Health Nurse Practitioner based in Chicago, IN and is specialized in Adult Health. Lora Fathauer practices in Columbus, IN and has the professional credentials of MSN,NP-C. The NPI Number for Lora Fathauer is 1700853942 and holds a License No. 71000213A (Indiana).

The current practice location address for Lora Fathauer is 2326 18Th St Ste 210, Columbus, IN and can be reached out via phone at 812-372-8680 and via fax at 812-372-9265.

Location: 2326 18Th St Ste 210, Columbus, IN, 60677-5383
person
Provider Profile Details
NPI Number
1700853942
Provider Name
Lora Fathauer
Credential
MSN,NP-C
Provider Entity Type
Individual
Gender
Female
Address
2326 18Th St Ste 210, Columbus, IN, 60677-5383
Phone Number
812-372-8680
Fax Number
812-372-9265
Provider Enumeration Date
03/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100342760B 05 IN
500030853 01 IN RR MEDICARE
ANTHEM 01 IN 000000317541
SIHO 01 IN 003707
CARESOURCE 01 IN 820564758100
institution
Provider Business Practice Location Address Details
Address
2326 18Th St Ste 210
City
State
Zip
47201-5362
Phone Number
812-372-8680
Fax Number
812-372-9265
person
Provider Business Mailing Address Details
Address
2326 18Th St Ste 210
City
State
Zip
47201-5362
Phone Number
812-372-8680
Fax Number
812-372-9265
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
71000213A (Indiana)
Definition
Definition to come...
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