Individual provider · Type 1 NPI
Aghogho Joy Ottahsmart
Nurse Practitioner · Fort Wayne, IN
Practice location
11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Fax (260) 672-6639
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Other practice locations
- 1909 Carew St, Fort Wayne, IN 46805-4707 · (260) 481-2800
- 1720 Beacon St, Fort Wayne, IN 46805-4749 · (260) 373-8000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 71012606A (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 1154062594
Aghogho Joy Ottahsmart's National Provider Identifier is 1154062594, issued on Apr 6, 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 Nov 8, 2024.