Organization · Type 2 NPI
Purdue University
Gerontology Nurse Practitioner · Fort Wayne, IN
NPI number
1225584295
Active
Practice location
2101 E Coliseum Blvd, Wu 234
Fort Wayne, IN 46805-1445
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 28079817 (IN) |
Gerontology Nurse Practitioner: Definition to come...
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Other gerontology nurse practitioner providers in Fort Wayne
About NPI 1225584295
Purdue University's National Provider Identifier is 1225584295, issued on Aug 30, 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 Aug 30, 2016.