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Anne G W Harless, NP
Gerontology Nurse Practitioner in Fort Wayne, Indiana
NPI 1174073373

Anne G W Harless is a Gerontology Nurse Practitioner based in Pendleton, IN and is specialized in Gerontology. Anne G W Harless practices in Fort Wayne, IN and has the professional credentials of NP. The NPI Number for Anne G W Harless is 1174073373 and holds a License No. 71006721A (Indiana).

The current practice location address for Anne G W Harless is 3512 Stellhorn Rd, Fort Wayne, IN and can be reached out via phone at 260-483-9081 and via fax at 260-483-9196.

Location: 3512 Stellhorn Rd, Fort Wayne, IN, 46064-1232
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Provider Profile Details
NPI Number
1174073373
Provider Name
Anne G W Harless
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
3512 Stellhorn Rd, Fort Wayne, IN, 46064-1232
Phone Number
260-483-9081
Fax Number
260-483-9196
Provider Enumeration Date
10/12/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201405200 05 IN
P01751331 01 IN RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
3512 Stellhorn Rd
City
State
Zip
46815-4631
Phone Number
260-483-9081
Fax Number
260-483-9196
person
Provider Business Mailing Address Details
Address
3512 Stellhorn Rd
City
State
Zip
46815-4631
Phone Number
260-483-9081
Fax Number
260-483-9196
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
71006721A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Adult Health
Taxonomy
License No.
71006721A (Indiana)
Definition
Definition to come...
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