Individual provider · Type 1 NPI

Guinevere M. Nilles, PA

Physician Assistant · Fort Wayne, IN

NPI number 1265819064 Active

Practice location

7910 W Jefferson Blvd Ste 108
Fort Wayne, IN 46804-4159

Call (260) 484-8830 Map

Fax (260) 483-1911

Mailing address

6610 Mutual Dr
Fort Wayne, IN 46825-4236

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Physician Assistant Primary 363A00000X10001910A (IN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1265819064

Guinevere M. Nilles, PA's National Provider Identifier is 1265819064, issued on Apr 30, 2015. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Jul 23, 2020.