Individual provider · Type 1 NPI

Soe San, FNP-C

Family Nurse Practitioner · Lagrange, IN

NPI number 1851152532 Active

Practice location

2500 N Detroit St
Lagrange, IN 46761-1158

Fax (260) 463-3775

Mailing address

PO Box 236
Lagrange, IN 46761-0236

Other practice locations

  • 710 W Dewey St, Bremen, In, Bremen, IN 46226-1466 · (574) 301-4351

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X71014882A (IN)

Family Nurse Practitioner: Definition to come...

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About NPI 1851152532

Soe San, FNP-C's National Provider Identifier is 1851152532, issued on Jan 19, 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 Jul 3, 2025.