Individual provider · Type 1 NPI

Virginia L. Nider, NP

Nurse Practitioner · Fort Wayne, IN

NPI number 1609124940 Active

Practice location

1234 E Dupont Rd Ste 1
Fort Wayne, IN 46825-1545

Fax (260) 425-6395

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XA0412039 (OH)
Nurse Practitioner Primary 363L00000X71004830A (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 1609124940

Virginia L. Nider, NP's National Provider Identifier is 1609124940, issued on Aug 16, 2012. 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 17, 2024.