Individual provider · Type 1 NPI

Halie H. Kudumula, NNP-BC

Nurse Practitioner · Fort Wayne, IN

NPI number 1588058739 Active

Practice location

11115 Parkview Plaza Dr
Fort Wayne, IN 46845-1701

Fax (260) 672-6459

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X71005419A (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 1588058739

Halie H. Kudumula, NNP-BC's National Provider Identifier is 1588058739, issued on Mar 26, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Jan 4, 2023.