Individual provider · Type 1 NPI

Olivia Whitlock

General Practice Registered Nurse · Fort Wayne, IN

NPI number 1053244871 Active

Practice location

11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701

Mailing address

7949 State Route 107
Montpelier, OH 43543-9723

Specialties and licenses

TaxonomyCodeLicense
General Practice Registered Nurse Primary 163WG0000XRN.552904 (OH)

General Practice Registered Nurse: Definition to come...

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About NPI 1053244871

Olivia Whitlock's National Provider Identifier is 1053244871, issued on Jun 3, 2026. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Fort Wayne, IN. The record was last updated on Jun 3, 2026.