Healthcare Provider Details

I. General information

NPI: 1447174172
Provider Name (Legal Business Name): ELIZABETH MCFALLS DNP, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

170 LEE DR
KOUTS IN
46347-9423
US

IV. Provider business mailing address

170 LEE DR
KOUTS IN
46347-9423
US

V. Phone/Fax

Practice location:
  • Phone: 219-405-8149
  • Fax:
Mailing address:
  • Phone: 219-405-8149
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number28285249A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: