Individual provider · Type 1 NPI

Audrey Lee Fazio, NP

Family Nurse Practitioner · Lagrange, IN

NPI number 1821850793 Active

Practice location

2500 N Detroit St
Lagrange, IN 46761-1158

Fax (260) 463-3775

Mailing address

PO Box 236
Lagrange, IN 46761-0236

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X71015104A (IN)

Family Nurse Practitioner: Definition to come...

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About NPI 1821850793

Audrey Lee Fazio, NP's National Provider Identifier is 1821850793, issued on Jan 26, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lagrange, IN. The record was last updated on Jun 20, 2024.