Individual
CLAUDIA JANE FENOGLIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3631 N MORRISON RD, MUNCIE, IN 47304-5547
(765) 281-3443
Mailing address
3631 N MORRISON RD, MUNCIE, IN 47304-5547
(765) 281-3443
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71002440A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000658236
ANTHEM BC/BS
IN
01
—
000000670612
ANTHEM BC/BS
IN
05
—
200902470A
—
IN
01
—
P00831335
RAILROAD MEDICARE
IN
01
—
P00831337
RAILROAD MEDICARE
IN
Enumeration date
07/22/2007
Last updated
03/21/2021
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