Individual provider · Type 1 NPI

Luann Deafenbaugh, NP

Nurse Practitioner · Fort Wayne, IN

NPI number 1003058454 Active

Practice location

7910 W Jefferson Blvd Ste 108
Fort Wayne, IN 46804-4159

Call (260) 436-0800 Map

Fax (260) 483-1911

Mailing address

PO Box 749495
Atlanta, GA 30374-9495

Other practice locations

1520 Provident Dr, Warsaw, IN 46580-3291 · (574) 372-3800

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner	363LF0000X	28067608 (IN)
Nurse Practitioner Primary	363L00000X	71002903A (IN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1003058454

Luann Deafenbaugh, NP's National Provider Identifier is 1003058454, issued on Apr 1, 2009. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Dec 18, 2024.