Organization · Type 2 NPI

Iris Ketamine & Infusions, LLC

Nurse Practitioner · Fort Wayne, IN

NPI number 1598533986 Active

Practice location

9025 Coldwater Rd Ste 200
Fort Wayne, IN 46825-2097

Fax (260) 888-2322

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

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 1598533986

Iris Ketamine & Infusions, LLC's National Provider Identifier is 1598533986, issued on Dec 14, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Dec 14, 2023.