Individual provider · Type 1 NPI

Emily Mastelou-Page, NNP

Nurse Practitioner · Fort Wayne, IN

NPI number 1538717848 Active

Practice location

11115 Parkview Plaza Dr
Fort Wayne, IN 46845-1701

Fax (260) 672-6459

Mailing address

6920 Pointe Inverness Way Ste 200
Fort Wayne, IN 46804-7934

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XAPRN.CNP.0039167 (OH)
Nurse Practitioner Primary 363L00000X71010707A (IN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1538717848

Emily Mastelou-Page, NNP's National Provider Identifier is 1538717848, issued on Aug 29, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Oct 29, 2026.