Individual
BRENDA SUE FAHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
620 8TH AVE, TERRE HAUTE, IN 47804-2744
(812) 231-8200
(812) 231-8400
Mailing address
3407 S KENNEDY DR, BLOOMINGTON, IN 47401-8454
(812) 583-4341
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71008386A
IN
Other
Enumeration date
09/25/2018
Last updated
10/15/2018
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