Individual
HEATHER LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1547 OHIO AVE, ANDERSON, IN 46016-1917
(765) 641-7499
Mailing address
13049 DEWITT DR, FISHERS, IN 46037-7840
(317) 760-8318
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71015460A
IN
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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