Individual
JEAN ANN FATTIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3838 N RURAL ST, INDIANAPOLIS, IN 46205-2930
(317) 221-2306
(317) 221-2336
Mailing address
3838 N RURAL ST, INDIANAPOLIS, IN 46205-2930
(317) 221-2306
(317) 221-2336
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28079924A
IN
Other
Enumeration date
05/30/2008
Last updated
05/30/2008
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