institution
Healthy Body Llc
Gerontology Nurse Practitioner in Fort Wayne, Indiana
NPI 1508389990

Healthy Body Llc is a Gerontology Nurse Practitioner based in Fort Wayne, IN and is specialized in Gerontology. Healthy Body Llc practices in Fort Wayne, IN. The NPI Number for Healthy Body Llc is 1508389990 and holds a License No. 71006194A (Indiana).

The current practice location address for Healthy Body Llc is 2515 Ladue Ln, Fort Wayne, IN and can be reached out via phone at 925-518-6122.

Location: 2515 Ladue Ln, Fort Wayne, IN, 46804-4133
institution
Provider Profile Details
NPI Number
1508389990
Provider Name
Healthy Body Llc
Credential
Provider Entity Type
Organization
Address
2515 Ladue Ln, Fort Wayne, IN, 46804-4133
Phone Number
925-518-6122
Fax Number
Provider Enumeration Date
07/18/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2515 Ladue Ln
City
State
Zip
46804-2796
Phone Number
925-518-6122
Fax Number
person
Provider Business Mailing Address Details
Address
2515 Ladue Ln
City
State
Zip
46804-2796
Phone Number
925-518-6122
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
71006194A (Indiana)
Definition
Definition to come...
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