Individual
LISA L YARGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
5693 YMCA PARK DR W, FORT WAYNE, IN 46835-3280
(260) 425-6500
(260) 425-6505
Mailing address
330 N WABASH AVE STE G-20, MARION, IN 46952-2605
(765) 660-7600
(765) 651-7313
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71000374A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000835186
ANTHEM
—
05
—
200267500
—
IN
Enumeration date
02/06/2006
Last updated
09/05/2024
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