Individual
ALLIE NORRIS-FAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
5080 E BILL FARR DR, TERRE HAUTE, IN 47803-9324
(812) 478-1825
Mailing address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71011268A
IN
Other
Enumeration date
07/01/2021
Last updated
10/10/2023
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