Provider Demographics
NPI:1407205958
Name:FEHRENBACHER, ANNA (MD)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:FEHRENBACHER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 FELSTEAD RD
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47712-3637
Mailing Address - Country:US
Mailing Address - Phone:812-490-3880
Mailing Address - Fax:812-213-3920
Practice Address - Street 1:801 FELSTEAD RD
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47712-3637
Practice Address - Country:US
Practice Address - Phone:812-490-3880
Practice Address - Fax:812-213-3920
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-06
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN11018854A207Q00000X
IN01083448A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine