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Nurse Practitioner

NPI: 1578406963Individual

Specialties, Licenses & Credentials

Registered Nurse

Code: 163W00000X

28195905A(IN)

Nurse Practitioner

Code: 363L00000X

71018137A(IN)

Contact & Hours

Address
1818 CAREW ST STE 120
FORT WAYNE, IN 46805

Quick Facts

NPI
1578406963
Entity Type
Individual
Gender
Female
Medicare
Not confirmed
Specialties
2
Locations
1

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