Individual
RYAN FAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4050 BRITT FARM DR STE C, LAFAYETTE, IN 47905-0712
(765) 297-0696
(888) 377-6346
Mailing address
179 W 550 S, CUTLER, IN 46920-9307
(937) 570-2448
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71006080A
IN
Other
Enumeration date
02/17/2016
Last updated
08/08/2024
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