Individual provider · Type 1 NPI

Elizabeth Anne Mysliwiec, FNP

Nurse Practitioner · Fort Wayne, IN

NPI number 1013640200 Active

Practice location

800 Broadway Ste 100
Fort Wayne, IN 46802-2149

Fax (260) 425-2631

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X28153761A (IN)
Nurse Practitioner Primary 363L00000X71014932A (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 1013640200

Elizabeth Anne Mysliwiec, FNP's National Provider Identifier is 1013640200, issued on Jul 5, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Sep 15, 2025.