Individual provider · Type 1 NPI
Loretta Bazur-Persing, NP
Family Nurse Practitioner · Fort Wayne, IN
NPI number
1316192511
Active
Practice location
3025 N Anthony Blvd
Fort Wayne, IN 46805-2723
Mailing address
9900 Bren Rd E
Minnetonka, MN 55343-9664
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 71002754A (IN) |
| Family Nurse Practitioner Primary | 363LF0000X | 71002754A (IN) |
Family Nurse Practitioner: Definition to come...
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About NPI 1316192511
Loretta Bazur-Persing, NP's National Provider Identifier is 1316192511, issued on Dec 2, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fort Wayne, IN. The record was last updated on Jul 22, 2020.