Individual provider · Type 1 NPI

Makayla Blain, NP

Nurse Practitioner · Fort Wayne, IN

NPI number 1821606500 Active

Practice location

11104 Parkview Circle Dr Ste 110
Fort Wayne, IN 46845-1673

Call (260) 425-6780 Map

Fax (260) 425-6615

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X71010155A (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 1821606500

Makayla Blain, NP's National Provider Identifier is 1821606500, issued on Jul 17, 2020. 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 2, 2026.