Individual provider · Type 1 NPI

McKenna A. Gottfried

Nurse Practitioner · Fort Wayne, IN

NPI number 1003328592 Active

Practice location

3909 New Vision Dr
Fort Wayne, IN 46845-1725

Call (260) 425-5500 Map

Fax (260) 425-5525

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Other practice locations

442 W High St, Bryan, OH 43506-1681 · (419) 636-4517

Specialties and licenses

Taxonomy	Code	License
Registered Nurse	163W00000X	28194377A (IN)
Nurse Practitioner	363L00000X	APRN.CNP.0036791 (OH)
Nurse Practitioner Primary	363L00000X	71007667A (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 1003328592

McKenna A. Gottfried's National Provider Identifier is 1003328592, issued on Oct 25, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Jul 30, 2024.