Individual provider · Type 1 NPI

Kelly Wakefield, APRN.CNP

Women's Health Nurse Practitioner · Fort Wayne, IN

NPI number 1164073557 Active

Practice location

2700 Lafayette St
Fort Wayne, IN 46806-1100

Fax (260) 744-3006

Specialties and licenses

TaxonomyCodeLicense
Women's Health Nurse Practitioner Primary 363LW0102X71009784A (IN)

Women's Health Nurse Practitioner: Definition to come...

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About NPI 1164073557

Kelly Wakefield, APRN.CNP's National Provider Identifier is 1164073557, issued on Sep 26, 2019. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Fort Wayne, IN. The record was last updated on Feb 11, 2020.