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Earthen Vessels Nurse Midwifery Llc
Medical Specialty Clinic/Center in Fort Wayne, Indiana
NPI 1053657775

Earthen Vessels Nurse Midwifery Llc is a Medical Specialty Clinic/Center based in Auburn, IN and is specialized in Medical Specialty. Earthen Vessels Nurse Midwifery Llc practices in Fort Wayne, IN. The NPI Number for Earthen Vessels Nurse Midwifery Llc is 1053657775 and holds a License No. 09000220A (Indiana).

The current practice location address for Earthen Vessels Nurse Midwifery Llc is 251 Airport North Office Park, Fort Wayne, IN and can be reached out via phone at 260-704-7166 and via fax at 260-357-0282.

Location: 251 Airport North Office Park, Fort Wayne, IN, 46706-9404
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053657775
Provider Name
Earthen Vessels Nurse Midwifery Llc
Credential
Provider Entity Type
Organization
Address
251 Airport North Office Park, Fort Wayne, IN, 46706-9404
Phone Number
260-704-7166
Fax Number
260-357-0282
Provider Enumeration Date
12/27/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
251 Airport North Office Park
City
Fort Wayne
State
Indiana
Zip
46825-6702
Phone Number
260-704-7166
Fax Number
260-357-0282
person
Provider Business Mailing Address Details
Address
251 Airport North Office Park
City
Fort Wayne
State
Indiana
Zip
46825-6702
Phone Number
260-704-7166
Fax Number
260-357-0282
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
09000220A (Indiana)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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