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Anthony B Centlivre
Psychiatric/Mental Health Nurse Practitioner in Fort Wayne, Indiana
NPI 1255051231

Anthony B Centlivre is a Psychiatric/Mental Health Nurse Practitioner based in Warsaw, IN and is specialized in Psychiatric/Mental Health. Anthony B Centlivre practices in Fort Wayne, IN. The NPI Number for Anthony B Centlivre is 1255051231 and holds a License No. 71012957A (Indiana).

The current practice location address for Anthony B Centlivre is 201 E Rudisill Blvd, Fort Wayne, IN and can be reached out via phone at 888-470-0082.

Location: 201 E Rudisill Blvd, Fort Wayne, IN, 46580-3880
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255051231
Provider Name
Anthony B Centlivre
Credential
Provider Entity Type
Individual
Gender
Male
Address
201 E Rudisill Blvd, Fort Wayne, IN, 46580-3880
Phone Number
888-470-0082
Fax Number
Provider Enumeration Date
08/31/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
201 E Rudisill Blvd
City
Fort Wayne
State
Indiana
Zip
46806-1738
Phone Number
888-470-0082
Fax Number
person
Provider Business Mailing Address Details
Address
201 E Rudisill Blvd
City
Fort Wayne
State
Indiana
Zip
46806-1738
Phone Number
888-470-0082
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
71012957A (Indiana)
Definition
Definition to come...
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