Individual provider · Type 1 NPI
Audretta Deanne Atkins
Driver · Fort Wayne, IN
NPI number
1659911774
Active
Practice location
7883 Shaker Ct
Fort Wayne, IN 46804-5708
Fax (855) 710-7995
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | 0500229390 (IN) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
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About NPI 1659911774
Audretta Deanne Atkins's National Provider Identifier is 1659911774, issued on Jan 7, 2020. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Jan 7, 2020.