Individual provider · Type 1 NPI

Anne G. W. Harless, NP

Gerontology Nurse Practitioner · Fort Wayne, IN

NPI number 1174073373 Active

Practice location

3512 Stellhorn Rd
Fort Wayne, IN 46815-4631

Call (260) 483-9081 Map

Fax (260) 483-9196

Mailing address

214 Pearl St
Pendleton, IN 46064-1232

Other practice locations

  • 214 Pearl St, Pendleton, IN 46064-1232 · (317) 000-0000

Specialties and licenses

TaxonomyCodeLicense
Adult Health Clinical Nurse Specialist 364SA2200X71006721A (IN)
Gerontology Nurse Practitioner Primary 363LG0600X71006721A (IN)

Gerontology Nurse Practitioner: Definition to come...

85 other providers at this address

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About NPI 1174073373

Anne G. W. Harless, NP's National Provider Identifier is 1174073373, issued on Oct 12, 2016. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Fort Wayne, IN. The record was last updated on Mar 16, 2020.