Carolyn R Fegenbush in Charlestown - Nurse Practitioner
Carolyn R Fegenbush - NPI 1629009790
Carolyn R Fegenbush is a Nurse Practitioner in Charlestown, Indiana. Carolyn R Fegenbush practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Carolyn R Fegenbush is 1629009790. The last update date is 2021-11-08.
Carolyn R Fegenbush's current location address is 2100 Market St Ste 101, Charlestown, Indiana. You can contact this provider via phone number 8125035100 and fax number 7705739513. The mailing address for Carolyn R Fegenbush is 2100 Market St Ste 101, Charlestown, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carolyn R Fegenbush |
|---|---|
| Address | 2100 Market St Ste 101, Charlestown, Indiana |
| Phone Number | 8125035100 |
| Fax Number | 7705739513 |
| Sole Proprietor | N |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1629009790 |
|---|---|
| Provider Enumeration Date | 2006-07-06 |
| Last Updated Date | 2021-11-08 |
Provider Mailing Address Detail
| Address | 2100 Market St Ste 101 |
|---|---|
| City | Charlestown |
| State | Indiana (IN) |
| Post Code | 471119535 |
| Phone Number | 8125035100 |
| Fax Number | 7705739513 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 71001579A |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2823492000 | PASSPORT ADVANTAGE | ||
| 200451720 | IN | -- | |
| 50014111 | PASSPORT | ||
| 78010824 | KY | -- | |
| P00424435 | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Carolyn R Fegenbush by the Centers for Medicare & Medicaid Services?
The Carolyn R Fegenbush has been issued the NPI (National Provider Identifier) 1629009790, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Carolyn R Fegenbush's physical address?
The Carolyn R Fegenbush is physically located at 2100 Market St Ste 101, in the city of Charlestown, IN, with the postal code 471119535.
What is Carolyn R Fegenbush's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Carolyn R Fegenbush's specialized field of practice is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of specialization is 363L00000X.
On what date did the Carolyn R Fegenbush receive the assignment of its 1629009790 from the Centers for Medicare & Medicaid Services?
The Carolyn R Fegenbush was issued its 1629009790 by the Centers for Medicare & Medicaid Services on 2006-07-06.
When was the Carolyn R Fegenbush's information last updated?
The Carolyn R Fegenbush's information was last updated on 2021-11-08.