Fabienne Fify
Fabienne Fify is a Nurse Practitioner in LA Porte, Indiana. Qualified in 2020, 6 years ago. Practices with Theoria Medical, a 342-clinician group and accepts Medicare assignment. Licensed in Indiana.
- Years since qualifying
- 6
- Licensed in
- IN
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
1700 I StLA Porte, IN 46350-5750
Phone: (708) 288-5036
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Gerontology Nurse Practitioner (primary) | Taxonomy 363LG0600X · Licence MF9072769 (IN) |
|---|---|
| Gerontology Nurse Practitioner | Taxonomy 363LG0600X · Licence 71015257A (IN) |
Record details
| NPI number | 1063263572 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 1, 2024 |
| Last updated in NPPES | March 1, 2025 |
| Certification date | March 1, 2025 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Theoria Medical — 342 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |