Individual
MRS. MEGAN R FISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6911 E US HIGHWAY 36, SUITE 1100, AVON, IN 46123-8926
(317) 272-7500
(317) 272-7515
Mailing address
6911 E US HIGHWAY 36, SUITE 1100, AVON, IN 46123-8926
(317) 272-7500
(317) 272-7515
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
71002146
IN
363LW0102X
Women's Health Nurse Practitioner
71002146A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200821500
—
IN
Enumeration date
03/15/2006
Last updated
03/17/2021
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