Individual provider · Type 1 NPI
Deborah Ann Baresic, WHNP
Obstetrics & Gynecology Nurse Practitioner · Fort Wayne, IN
NPI number
1336351089
Active
Practice location
7910 W Jefferson Blvd, Ste 301
Fort Wayne, IN 46804-4159
Fax (260) 432-6077
Mailing address
6705 Woodcrest Dr
Fort Wayne, IN 46815-5568
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner Primary | 363LX0001X | 71000624A (IN) |
Obstetrics & Gynecology Nurse Practitioner: Definition to come...
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About NPI 1336351089
Deborah Ann Baresic, WHNP's National Provider Identifier is 1336351089, issued on May 4, 2007. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in Fort Wayne, IN. The record was last updated on Jul 8, 2007.