person
Audrey Lee Fazio
Family Nurse Practitioner in Lagrange, Indiana
NPI 1821850793

Audrey Lee Fazio is a Family Nurse Practitioner based in Lagrange, IN and is specialized in Family. Audrey Lee Fazio practices in Lagrange, IN. The NPI Number for Audrey Lee Fazio is 1821850793 and holds a License No. 71015104A (Indiana).

The current practice location address for Audrey Lee Fazio is 2500 N Detroit St, Lagrange, IN and can be reached out via phone at 260-463-2133 and via fax at 260-463-3775.

Location: 2500 N Detroit St, Lagrange, IN, 46761-0236
person
Provider Profile Details
NPI Number
1821850793
Provider Name
Audrey Lee Fazio
Credential
Provider Entity Type
Individual
Gender
Female
Address
2500 N Detroit St, Lagrange, IN, 46761-0236
Phone Number
260-463-2133
Fax Number
260-463-3775
Provider Enumeration Date
01/26/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
2500 N Detroit St
City
State
Zip
46761-1158
Phone Number
260-463-2133
Fax Number
260-463-3775
person
Provider Business Mailing Address Details
Address
2500 N Detroit St
City
State
Zip
46761-1158
Phone Number
260-463-2133
Fax Number
260-463-3775
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71015104A (Indiana)
Definition
Definition to come...
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