person
Melissa K. Gephart, NP-C
Family Nurse Practitioner in Fort Wayne, Indiana
NPI 1174893531

Melissa K. Gephart is a Family Nurse Practitioner based in Fort Wayne, IN and is specialized in Family. Melissa K. Gephart practices in Fort Wayne, IN and has the professional credentials of NP-C. The NPI Number for Melissa K. Gephart is 1174893531 and holds a License No. 71003834A (Indiana).

The current practice location address for Melissa K. Gephart is 7900 W Jefferson Blvd Ste 304, Fort Wayne, IN and can be reached out via phone at 260-458-3600 and via fax at 260-458-3601.

Location: 7900 W Jefferson Blvd Ste 304, Fort Wayne, IN, 46804-7934
person
Provider Profile Details
NPI Number
1174893531
Provider Name
Melissa K. Gephart
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
7900 W Jefferson Blvd Ste 304, Fort Wayne, IN, 46804-7934
Phone Number
260-458-3600
Fax Number
260-458-3601
Provider Enumeration Date
01/03/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000744783 01 IN ANTHEM BCBS
71003834A 01 IN INDIANA PROFESSIONAL NURSING BOARD LICENSE
201044550 05 IN
institution
Provider Business Practice Location Address Details
Address
7900 W Jefferson Blvd Ste 304
City
State
Zip
46804-4128
Phone Number
260-458-3600
Fax Number
260-458-3601
person
Provider Business Mailing Address Details
Address
7900 W Jefferson Blvd Ste 304
City
State
Zip
46804-4128
Phone Number
260-458-3600
Fax Number
260-458-3601
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71003834A (Indiana)
Definition
Definition to come...
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