Individual
NANCY REDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2025 VIRGINIA AVE., STE. D, CONNERSVILLE, IN 47331-2833
(765) 827-8064
(765) 825-6999
Mailing address
2231 N GRAND AVE, CONNERSVILLE, IN 47331-2341
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
28087283A
IN
363LF0000X
Family Nurse Practitioner
Primary
71008652A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28087283A
RN LICENSE
IN
05
—
300021585
—
IN
01
—
71008652A
IN LICENSE
IN
Enumeration date
11/16/2018
Last updated
08/25/2021
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