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Tanviben M Rangunwala
Family Nurse Practitioner in Fort Wayne, Indiana
NPI 1184089872

Tanviben M Rangunwala is a Family Nurse Practitioner based in Fort Wayne, IN and is specialized in Family. Tanviben M Rangunwala practices in Fort Wayne, IN. The NPI Number for Tanviben M Rangunwala is 1184089872 and holds a License No. 006354 (Indiana).

The current practice location address for Tanviben M Rangunwala is 2121 Lake Ave, Fort Wayne, IN and can be reached out via phone at 260-426-5431.

Location: 2121 Lake Ave, Fort Wayne, IN, 46805-5100
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184089872
Provider Name
Tanviben M Rangunwala
Credential
Provider Entity Type
Individual
Gender
Female
Address
2121 Lake Ave, Fort Wayne, IN, 46805-5100
Phone Number
260-426-5431
Fax Number
Provider Enumeration Date
12/22/2015
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
2121 Lake Ave
City
Fort Wayne
State
Indiana
Zip
46805-5100
Phone Number
260-426-5431
Fax Number
person
Provider Business Mailing Address Details
Address
2121 Lake Ave
City
Fort Wayne
State
Indiana
Zip
46805-5100
Phone Number
260-426-5431
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
006354 (Connecticut)
Definition
Definition to come...
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