Individual provider · Type 1 NPI
Megan Vandell, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Fort Wayne, IN
NPI number
1053915116
Active
Practice location
909 E State Blvd
Fort Wayne, IN 46805-3458
Other practice locations
- 1909 Carew St, Fort Wayne, IN 46805-4707 · (260) 481-2800
- 2710 Lake Ave, Fort Wayne, IN 46805-5412 · (260) 471-9440
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 71010420A (IN) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1053915116
Megan Vandell, PMHNP's National Provider Identifier is 1053915116, issued on Nov 29, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fort Wayne, IN. The record was last updated on Nov 29, 2020.