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Carol A Stults, NP
Primary Care Nurse Practitioner in Fort Wayne, Indiana
NPI 1205115649

Carol A Stults is a Primary Care Nurse Practitioner based in Fort Wayne, IN and is specialized in Primary Care. Carol A Stults practices in Fort Wayne, IN and has the professional credentials of NP. The NPI Number for Carol A Stults is 1205115649 and holds a License No. 28072562A (Indiana).

The current practice location address for Carol A Stults is 5649 Coventry Ln, Fort Wayne, IN and can be reached out via phone at 260-436-6565 and via fax at 260-459-1130. You can also correspond with Carol A Stults through the mailing address at 5649 COVENTRY LN, FORT WAYNE, IN - 46804-7145 (mailing address contact number: 260-436-6565).

Location: 5649 Coventry Ln, Fort Wayne, IN, 46804-7145
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Provider Profile Details
NPI Number
1205115649
Provider Name
Carol A Stults
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
5649 Coventry Ln, Fort Wayne, IN, 46804-7145
Phone Number
260-436-6565
Fax Number
260-459-1130
Provider Enumeration Date
08/16/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201039990 05 IN
institution
Provider Business Practice Location Address Details
Address
5649 Coventry Ln
City
State
Zip
46804-7145
Phone Number
260-436-6565
Fax Number
260-459-1130
person
Provider Business Mailing Address Details
Address
5649 Coventry Ln
City
State
Zip
46804-7145
Phone Number
260-436-6565
Fax Number
260-459-1130
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
28072562A (Indiana)
Definition
Definition to come...
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