Individual
TONYA HALE FLEENOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2100 N MAIN ST # 304, CROWN POINT, IN 46307-1877
(574) 546-1900
(574) 546-1999
Mailing address
PO BOX 10299, FORT WAYNE, IN 46851-0299
(574) 546-1900
(574) 546-1999
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3015903
KY
363L00000X
Nurse Practitioner
71002254A
IN
363LA2100X
Acute Care Nurse Practitioner
Primary
71002254A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000495681
ANTHEM
—
05
—
200843190
—
IN
Enumeration date
11/14/2006
Last updated
02/28/2022
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