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Bernita Flye
Pediatric Nurse Practitioner in Fort Wayne, Indiana
NPI 1710396940

Bernita Flye is a Pediatric Nurse Practitioner based in Fort Wayne, IN and is specialized in Pediatrics. Bernita Flye practices in Fort Wayne, IN. The NPI Number for Bernita Flye is 1710396940 and holds a License No. 28079791A (Indiana).

The current practice location address for Bernita Flye is 3919 W Jefferson Blvd, Fort Wayne, IN and can be reached out via phone at 260-436-7722.

Location: 3919 W Jefferson Blvd, Fort Wayne, IN, 46835-3800
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710396940
Provider Name
Bernita Flye
Credential
Provider Entity Type
Individual
Gender
Female
Address
3919 W Jefferson Blvd, Fort Wayne, IN, 46835-3800
Phone Number
260-436-7722
Fax Number
Provider Enumeration Date
08/13/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100465770 05 IN
institution
Provider Business Practice Location Address Details
Address
3919 W Jefferson Blvd
City
Fort Wayne
State
Indiana
Zip
46804-6811
Phone Number
260-436-7722
Fax Number
person
Provider Business Mailing Address Details
Address
3919 W Jefferson Blvd
City
Fort Wayne
State
Indiana
Zip
46804-6811
Phone Number
260-436-7722
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
28079791A (Indiana)
Definition
Definition to come...
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