person
Mrs. Joelyn M Etgen, NP-C
Family Nurse Practitioner in Fort Wayne, Indiana
NPI 1467722249

Joelyn M Etgen is a Family Nurse Practitioner based in Fort Wayne, IN and is specialized in Family. Joelyn M Etgen practices in Fort Wayne, IN and has the professional credentials of NP-C. The NPI Number for Joelyn M Etgen is 1467722249 and holds a License No. COA 13375-NP (Indiana).

The current practice location address for Joelyn M Etgen is 770 E Dupont Rd, Fort Wayne, IN and can be reached out via phone at 260-451-8242.

Location: 770 E Dupont Rd, Fort Wayne, IN, 46825-2056
person
Provider Profile Details
NPI Number
1467722249
Provider Name
Joelyn M Etgen
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
770 E Dupont Rd, Fort Wayne, IN, 46825-2056
Phone Number
260-451-8242
Fax Number
Provider Enumeration Date
01/10/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201047530 05 IN
0076586 05 OH
12330800 01 CAQH
M40062495 01 IN PTAN
H149901 01 OH PTAN
institution
Provider Business Practice Location Address Details
Address
770 E Dupont Rd
City
State
Zip
46825-2056
Phone Number
260-451-8242
Fax Number
person
Provider Business Mailing Address Details
Address
770 E Dupont Rd
City
State
Zip
46825-2056
Phone Number
260-451-8242
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
COA 13375-NP (Ohio)
Definition
Definition to come...
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