Healthcare Provider Details

I. General information

NPI: 1528975190
Provider Name (Legal Business Name): VALERIE FRALIC NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 E MARKET ST
CLOVERDALE IN
46120-8427
US

IV. Provider business mailing address

11707 S COUNTY ROAD 300 W
REELSVILLE IN
46171-9488
US

V. Phone/Fax

Practice location:
  • Phone: 765-795-4242
  • Fax:
Mailing address:
  • Phone: 765-513-5570
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNONE
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: