Individual provider · Type 1 NPI
Brookelyn Agler, NP
Family Nurse Practitioner · Fort Wayne, IN
NPI number
1669940714
Active
Practice location
Summit Radiology, Pc, 5001 US Highway 30 W, Suite D
Fort Wayne, IN 46818-9701
Fax (260) 432-4969
Mailing address
PO Box 80070
Fort Wayne, IN 46898-0070
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 71008592 (IN) |
Family Nurse Practitioner: Definition to come...
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About NPI 1669940714
Brookelyn Agler, NP's National Provider Identifier is 1669940714, issued on Nov 7, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fort Wayne, IN. The record was last updated on Dec 13, 2018.