Angela Dawn Berry, BA

Individual provider Active NPI Case Manager/Care Coordinator · Rochester, IN

NPI 1306199203 · NPPES record last updated Feb 15, 2013

Key facts

NPI
1306199203
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
401 E 8TH St
Ste a
Rochester, IN 46975-1443
Phone
(574) 223-8565
Fax
(574) 223-8786
NPI assigned
Oct 17, 2012
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
Credentials
Bachelor of Arts

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

401 E 8TH St
Ste a
Rochester, IN 46975-1443

Mailing address

1015 Michigan Ave
Logansport, IN 46947-1526
Phone (574) 722-5151

Other names

  • Amanda Dawn Fisher Former name

Other providers in Rochester, IN

All providers in Rochester, IN · Case Manager/Care Coordinator in Indiana

Sources for this page

Verify at the official NPI Registry.