Individual provider · Type 1 NPI

Shandi Menzie

Nurse Practitioner · Fort Wayne, IN

NPI number 1750155008 Active

Practice location

11123 Parkview Plaza Dr Ste 106
Fort Wayne, IN 46845-1707

Call (260) 672-6550 Map

Fax (260) 672-6559

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X71014569A (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 1750155008

Shandi Menzie's National Provider Identifier is 1750155008, issued on Nov 7, 2023. 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 9, 2024.