Individual
MRS. NANCY JANE FAUVERGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4330 TULIP DR S, MARTINSVILLE, IN 46151-7594
(317) 847-3959
Mailing address
4330 TULIP DR S, MARTINSVILLE, IN 46151-7594
(317) 847-3959
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
28137587A
IN
Other
Enumeration date
06/08/2010
Last updated
06/08/2010
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