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Doctors / IN
NURSE PRACTITIONER
Graduated: 2025
NPI: 1225910763
11109 PARKVIEW PLAZA DR, SUITE 117
FORT WAYNE, IN 468451701
1101 MICHIGAN AVE
LOGANPORT, IN 469471528
LOGANSPORT, IN 469471596
Source: CMS National Downloadable File, September 2026.