Debra Lynn Fife, LPN
Individual provider Active NPI Licensed Practical Nurse · Charlestown, IN
NPI 1225833148 · NPPES record last updated Feb 14, 2025
Key facts
- NPI
- 1225833148
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 27025026A (IN)
- Practice address
- Southern Indiana CTC
7509 Charlestown Pike
Charlestown, IN 47111 - Phone
- (812) 256-4686
- NPI assigned
- Feb 14, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27025026A | IN | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 27025026A | IN | Yes |
Addresses
Primary practice location
Southern Indiana CTC
7509 Charlestown Pike
Charlestown, IN 47111
Mailing address
Southern Indiana CTC
7509 Charlestown Pike
Charlestown, IN 47111
Phone (812) 256-4686
Other providers in Charlestown, IN
- Cassandra Ann Edelmann
- Empowerme Wellness Kansas City, LLC
- Jennifer Ennis
- Sean Gregory Evans
- Traci Lyn Falbo
- Floyd Memorial Hospital and Health Services
- Kathleen W Free
- Devin Freels
- Adam A French
- William H Garner III
All providers in Charlestown, IN · Licensed Practical Nurse in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.