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Goddard Medical Services Llc
Psychiatric/Mental Health Nurse Practitioner in Fort Wayne, Indiana
NPI 1659911832

Goddard Medical Services Llc is a Psychiatric/Mental Health Nurse Practitioner based in Fort Wayne, IN and is specialized in Psychiatric/Mental Health. Goddard Medical Services Llc practices in Fort Wayne, IN. The NPI Number for Goddard Medical Services Llc is 1659911832 and holds a License No. (Indiana).

The current practice location address for Goddard Medical Services Llc is 9025 Coldwater Rd Ste 200, Fort Wayne, IN and can be reached out via phone at 260-459-9225 and via fax at 608-001-5122. You can also correspond with Goddard Medical Services Llc through the mailing address at 9025 COLDWATER RD STE 200, FORT WAYNE, IN - 46825-2097 (mailing address contact number: 260-459-9225).

Location: 9025 Coldwater Rd Ste 200, Fort Wayne, IN, 46825-2097
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659911832
Provider Name
Goddard Medical Services Llc
Credential
Provider Entity Type
Organization
Address
9025 Coldwater Rd Ste 200, Fort Wayne, IN, 46825-2097
Phone Number
260-459-9225
Fax Number
608-001-5122
Provider Enumeration Date
01/15/2020
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
71008436A 01 IN STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
9025 Coldwater Rd Ste 200
City
Fort Wayne
State
Indiana
Zip
46825-2097
Phone Number
260-459-9225
Fax Number
608-001-5122
person
Provider Business Mailing Address Details
Address
9025 Coldwater Rd Ste 200
City
Fort Wayne
State
Indiana
Zip
46825-2097
Phone Number
260-459-9225
Fax Number
608-001-5122
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
()
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
()
Definition
Definition to come...
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