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Summer Green, RN
Emergency Registered Nurse in Fort Wayne, Indiana
NPI 1467156646

Summer Green is a Emergency Registered Nurse based in Defiance, IN and is specialized in Emergency. Summer Green practices in Fort Wayne, IN and has the professional credentials of RN. The NPI Number for Summer Green is 1467156646 and holds a License No. 28231640A (Indiana).

The current practice location address for Summer Green 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, 43512-8842
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467156646
Provider Name
Summer Green
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
2121 Lake Ave, Fort Wayne, IN, 43512-8842
Phone Number
260-426-5431
Fax Number
Provider Enumeration Date
03/30/2023
Last Update Date
03/10/2024
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
Nursing Service Providers
Classification
Registered Nurse
Speciality
Emergency
Taxonomy
163WE0003X
License No.
28231640A (Indiana)
Definition
Definition to come...
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