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NPI Code Detail

MEDICARE: MRS. MEGAN R FISH NP

MEDICARE: MRS. MEGAN R FISH NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LW0102XWomen's Health Nurse Practitioner71002146AIN
2363LW0102XWomen's Health Nurse Practitioner71002146IN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255300018
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MEGAN R FISH NP
Provider Business Mailing Address
First Line : 6911 E US HIGHWAY 36
Second Line : SUITE 1100
City : AVON
State : IN
Zip : 46123-8926
Country : US
Telephone Number : 317-272-7500
Fax Number : 317-272-7515
Provider Business Practice Location Address
First Line : 6911 E US HIGHWAY 36
Second Line : SUITE 1100
City : AVON
State : IN
Zip : 46123-8926
Country : US
Telephone Number : 317-272-7500
Fax Number : 317-272-7515
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2006
Last Update Date : 03/17/2021

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