| Christi Lee Self, FNP | |
|
5604 E White Oak Ln, Marengo, IN 47140-8413 | |
| (812) 365-3221 | |
| (812) 365-9502 |
| Full Name | Christi Lee Self |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 5604 E White Oak Ln, Marengo, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417285024 | NPI | - | NPPES |
| 201075360 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 28159185A (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 71003148A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Christi Lee Self, FNP 420 W Longest St, Paoli, IN 47454-8821 Ph: (812) 723-3944 | Christi Lee Self, FNP 5604 E White Oak Ln, Marengo, IN 47140-8413 Ph: (812) 365-3221 |
Howard D Detweiler, N. P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5604 E White Oak Ln, Marengo, IN 47140 Phone: 812-365-3221 Fax: 812-365-9502 | |
Kelsey L Trueblood, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5604 E White Oak Ln, Marengo, IN 47140 Phone: 812-365-3221 Fax: 812-365-9502 | |
Susan Stein, N. P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 170 South Second Street, Marengo, IN 47140 Phone: 812-365-3221 Fax: 812-365-9502 |