Unknown Individual – Nurse Practitioner, NPI 1609334382
Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1330, North Coliseum Boulevard, Fort Wayne, Allen County, Indiana, 46805, United States
FORT WAYNE, IN 468055526
Phone: (260) 447-8982
Fax: (260) 447-4483
Type: Location
2520, Bosworth Drive, Brentwood Park, Fort Wayne, Allen County, Indiana, 46805, United States
FORT WAYNE, IN 468053027
Phone: (260) 418-7419
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46805)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| - | KY | |
| Nurse Practitioner | IN | |
| A N E S T H E S I O L O G Y | IN | |
| Nurse Practitioner | IN | |
| Physician Assistant | IN | |
| Physician Assistant | IN | |
| Nurse Practitioner | MI | |
| Diagnostic Radiology | IN |
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