Individual provider · Type 1 NPI

Mary Teresa Folk

Gerontology Nurse Practitioner · Crown Point, IN

NPI number 1801456165 Active

Practice location

2100 N Main St Ste 304
Crown Point, IN 46307-1877

Fax (574) 546-1999

Mailing address

PO Box 10299
Fort Wayne, IN 46851-0299

Other practice locations

  • 101 S 5th St Ste 2500, Louisville, KY 40202-3066 · (574) 546-1900

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600X3013448 (KY)
Gerontology Nurse Practitioner Primary 363LG0600X71009310A (IN)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1801456165

Mary Teresa Folk's National Provider Identifier is 1801456165, issued on Jun 19, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Crown Point, IN. The record was last updated on Jul 24, 2020.