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Mrs. Daphne Pontius, APRNWHNP-BC
Women's Health Nurse Practitioner in South Bend, Indiana
NPI 1700403581

Daphne Pontius is a Women's Health Nurse Practitioner based in Wausau, IN and is specialized in Women's Health. Daphne Pontius practices in South Bend, IN and has the professional credentials of APRNWHNP-BC. The NPI Number for Daphne Pontius is 1700403581 and holds a License No. 71012429A (Indiana).

The current practice location address for Daphne Pontius is 621 Memorial Dr Ste 403, South Bend, IN and can be reached out via phone at 574-647-1405 and via fax at 574-647-3970. You can also correspond with Daphne Pontius through the mailing address at 216 S 3RD AVE, WAUSAU, WI - 54401-4636 (mailing address contact number: 800-246-5743).

Location: 621 Memorial Dr Ste 403, South Bend, IN, 54401-4636
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Provider Profile Details
NPI Number
1700403581
Provider Name
Daphne Pontius
Credential
APRNWHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
621 Memorial Dr Ste 403, South Bend, IN, 54401-4636
Phone Number
574-647-1405
Fax Number
574-647-3970
Provider Enumeration Date
06/29/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300061190 05 IN
institution
Provider Business Practice Location Address Details
Address
621 Memorial Dr Ste 403
City
State
Zip
46601-1074
Phone Number
574-647-1405
Fax Number
574-647-3970
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Provider Business Mailing Address Details
Address
216 S 3Rd Ave
City
State
Zip
54401-4636
Phone Number
800-246-5743
Fax Number
715-675-1819
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Women's Health
Taxonomy
License No.
71012429A (Indiana)
Definition
Definition to come...
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