Individual
FAIRY GEILING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
202 N GASLIGHT DRIVE, VERSAILLES, IN 47042
(812) 689-6363
Mailing address
PO BOX 766, VERSAILLES, IN 47042-0766
(812) 689-6363
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
28056680A
IN
Other
Enumeration date
10/31/2006
Last updated
07/09/2007
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