Provider Demographics
NPI:1437307121
Name:ENGLAND, NANCY K (FNP-C)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:K
Last Name:ENGLAND
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 REID PKWY
Mailing Address - Street 2:MEDICAL STAFF SERVICES
Mailing Address - City:RICHMOND
Mailing Address - State:IN
Mailing Address - Zip Code:47374-1157
Mailing Address - Country:US
Mailing Address - Phone:765-935-8877
Mailing Address - Fax:765-939-2761
Practice Address - Street 1:2507 CHESTER BLVD
Practice Address - Street 2:SPACE B
Practice Address - City:RICHMOND
Practice Address - State:IN
Practice Address - Zip Code:47374-1105
Practice Address - Country:US
Practice Address - Phone:765-935-8877
Practice Address - Fax:765-939-2761
Is Sole Proprietor?:No
Enumeration Date:2008-09-05
Last Update Date:2016-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71002681A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000683521OtherANTHEM BCBS
OH0072168Medicaid
IN200958700Medicaid
IN200958700Medicaid