Individual provider · Type 1 NPI

Marisha A. Klingenberger, NP

Nurse Practitioner · Fort Wayne, IN

NPI number 1093766784 Active

Practice location

2200 Randallia Dr
Fort Wayne, IN 46805-4638

Fax (260) 373-6704

Mailing address

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

Other practice locations

  • 401 N Sawyer Rd, Kendallville, IN 46755-2568 · (260) 347-8700
  • 2001 Stults Rd, Huntington, IN 46750-1291 · (260) 355-3000

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X71001042A (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 1093766784

Marisha A. Klingenberger, NP's National Provider Identifier is 1093766784, issued on May 15, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Jun 5, 2024.