Provider Demographics
NPI:1790972248
Name:VOGEL, LOIS ANN (FNP)
Entity Type:Individual
Prefix:
First Name:LOIS
Middle Name:ANN
Last Name:VOGEL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1287 W COUNTY ROAD 600 N
Mailing Address - Street 2:
Mailing Address - City:BRAZIL
Mailing Address - State:IN
Mailing Address - Zip Code:47834-7456
Mailing Address - Country:US
Mailing Address - Phone:812-448-8651
Mailing Address - Fax:
Practice Address - Street 1:1148 INDIANAPOLIS RD
Practice Address - Street 2:
Practice Address - City:GREENCASTLE
Practice Address - State:IN
Practice Address - Zip Code:46135-1458
Practice Address - Country:US
Practice Address - Phone:765-653-4003
Practice Address - Fax:765-653-8930
Is Sole Proprietor?:No
Enumeration Date:2007-09-28
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71000951B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
INMV 0621070OtherDEA