Provider Demographics
NPI:1215301403
Name:LEHMAN, AUDRA (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:AUDRA
Middle Name:
Last Name:LEHMAN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3250 INTERTECH DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:ANGOLA
Mailing Address - State:IN
Mailing Address - Zip Code:46703-7223
Mailing Address - Country:US
Mailing Address - Phone:260-665-2646
Mailing Address - Fax:
Practice Address - Street 1:3250 INTERTECH DR
Practice Address - Street 2:SUITE A
Practice Address - City:ANGOLA
Practice Address - State:IN
Practice Address - Zip Code:46703-7223
Practice Address - Country:US
Practice Address - Phone:260-665-2646
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-25
Last Update Date:2018-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28197320A363LF0000X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse