Nurse Practitioner, Family
AMA AMOFA FNP-C
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1861167082 · enumerated 2021-08-10 · record updated 2025-04-23. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 1400 E CROSSING BLVD, TERRE HAUTE, IN, 47802-5316 (812) 239-3066 Google Maps Apple Maps OpenStreetMap
- Mailing address 7299 BELFONTE LN, TERRE HAUTE, IN, 47802-9196 (573) 645-7695 Google Maps Apple Maps OpenStreetMap
Specialties
- Registered Nurse 163W00000X · License 28224828A IN
- Nurse Practitioner, Family 363LF0000X · Primary · License 71011554A IN
In this directory
Locations and evidence
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Practice location
TERRE HAUTE, IN, 478025316
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.