Individual provider · Type 1 NPI

Pamela S. Dekoninck, MS, RN, AGPCNP-BC

Gerontology Nurse Practitioner · Fort Wayne, IN

NPI number 1639622772 Active

Practice location

2101 E Coliseum Blvd, Wu 234
Fort Wayne, IN 46805-1445

Fax (260) 481-5752

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X28079817 (IN)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1639622772

Pamela S. Dekoninck, MS, RN, AGPCNP-BC's National Provider Identifier is 1639622772, issued on Jul 25, 2016. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Fort Wayne, IN. The record was last updated on Jul 25, 2016.