Individual provider · Type 1 NPI

Sizhu Prosniak, A.P.N

Nurse Practitioner · Fort Wayne, IN

NPI number 1689009193 Active

Practice location

8233 Glencarin Blvd
Fort Wayne, IN 46804-5784

Call (260) 425-5470 Map

Fax (260) 425-5475

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Primary Care Nurse Practitioner	363LP2300X	SP016746 (PA)
Nurse Practitioner Primary	363L00000X	71012550A (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 1689009193

Sizhu Prosniak, A.P.N's National Provider Identifier is 1689009193, issued on Sep 4, 2013. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Apr 14, 2025.