Nikki J Mann GNP-C

NPI 1336278753 - Nurse Practitioner - 363LG0600X

NPI Details
NPI 1336278753
Gender Female
Enumeration Date 03/02/2007
Last Updated 01/22/2016
Entity Type Individual
Active Over 9 years ago
Practice Location
3010 INDEPENDENCE DR
FORT WAYNE IN, 46808-1328, US
Phone (260) 739-5821
Fax (260) 527-4802
Business Location
7903 ANOKA DR
FORT WAYNE IN, 46809-9766, US
Phone (260) 478-6240
Fax (260) 483-9196
Toxanomy
Taxonomy Code 363LG0600X
License State Indiana
License Number 28157094A
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According to our database, Nikki J Mann GNP-C NPI is 1336278753, taxonomy code is 363LG0600X and license number is 28157094A, license state is located at Indiana. Nikki J Mann GNP-C physically located at 3010 Independence Dr, Fort Wayne IN, 46808-1328. NPI Number Nikki J Mann GNP-C has the Individual type.

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1336278753 NPI number is provided on an as is basis without warranty of any kind. 1336278753 is maintained by the National Plan & Provider Enumeration System. The contents of Nikki J Mann GNP-C are for informational purposes only.