Individual provider · Type 1 NPI

Mary Casey Christophersen, NP

Nurse Practitioner · Fort Wayne, IN

NPI number 1669061289 Active

Practice location

6507 E State Blvd
Fort Wayne, IN 46815-7026

Call (260) 486-3300 Map

Fax (260) 486-3600

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Registered Nurse	163W00000X	28234514A (IN)
Nurse Practitioner Primary	363L00000X	71011222A (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 1669061289

Mary Casey Christophersen, NP's National Provider Identifier is 1669061289, issued on Jan 18, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Sep 3, 2026.