Individual provider · Type 1 NPI

Alex Michael Koenemann, NP

Family Nurse Practitioner · Fort Wayne, IN

NPI number 1952290918 Active

Practice location

7950 W Jefferson Blvd
Fort Wayne, IN 46804-4140

Fax (260) 434-6481

Mailing address

6920 Pointe Inverness Way Ste 200
Fort Wayne, IN 46804-7934

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X71016711A (IN)

Family Nurse Practitioner: Definition to come...

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About NPI 1952290918

Alex Michael Koenemann, NP's National Provider Identifier is 1952290918, issued on Jul 2, 2025. 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 Jul 2, 2025.