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Tisha Fry, NP
Family Nurse Practitioner in Winamac, Indiana
NPI 1851862585

Tisha Fry is a Family Nurse Practitioner based in Winamac, IN and is specialized in Family. Tisha Fry practices in Winamac, IN and has the professional credentials of NP. The NPI Number for Tisha Fry is 1851862585 and holds a License No. 71008606A (Indiana).

The current practice location address for Tisha Fry is 540 Hospital Dr, Winamac, IN and can be reached out via phone at 574-946-2194.

Location: 540 Hospital Dr, Winamac, IN, 46996-0279
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851862585
Provider Name
Tisha Fry
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
540 Hospital Dr, Winamac, IN, 46996-0279
Phone Number
574-946-2194
Fax Number
Provider Enumeration Date
12/06/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
71008606A 01 IN STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
540 Hospital Dr
City
Winamac
State
Indiana
Zip
46996-1173
Phone Number
574-946-2194
Fax Number
person
Provider Business Mailing Address Details
Address
540 Hospital Dr
City
Winamac
State
Indiana
Zip
46996-1173
Phone Number
574-946-2194
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
71008606A (Indiana)
Definition
Definition to come...
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