Individual
JANET ARLENE FOGLESONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1300 STATE STREET, SUITE 1B, LA PORTE, IN 46350-3134
(219) 326-5700
(219) 326-8131
Mailing address
PO BOX 1690, LA PORTE, IN 46352-1690
(219) 326-2312
(219) 326-2584
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
71001946A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200495860
—
IN
Enumeration date
08/17/2006
Last updated
12/30/2011
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