Individual
DAWN E FAIRBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1152 E US HIGHWAY 36, BAINBRIDGE, IN 46105
(765) 522-1889
(765) 522-3583
Mailing address
1100 SOUTHFIELD DR, SUITE 1370, PLAINFIELD, IN 46168-4498
(317) 837-5570
(317) 837-5580
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71004960A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201235230
—
IN
Enumeration date
07/02/2014
Last updated
03/04/2021
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