Individual provider · Type 1 NPI

Michelle Bock

Nurse Practitioner · Fort Wayne, IN

NPI number 1124423165 Active

Practice location

2514 E Dupont Rd Ste 100
Fort Wayne, IN 46825-1619

Call (260) 484-8830 Map

Mailing address

PO Box 749495
Atlanta, GA 30374-9495

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X71005186A (IN)
Nurse Practitioner Primary 363L00000X71005186A (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 1124423165

Michelle Bock's National Provider Identifier is 1124423165, issued on Nov 4, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Dec 9, 2024.