Individual
DANA LEIGH FUGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
727 MOON RD, PLAINFIELD, IN 46168-8757
(317) 839-2513
Mailing address
2445 N OLIVE CHURCH RD, PARAGON, IN 46166-9255
(317) 989-8214
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28175454A
IN
Other
Enumeration date
08/14/2020
Last updated
08/14/2020
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