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Grace Amalachukwu Madueke
Psychiatric/Mental Health Nurse Practitioner in Fort Wayne, Indiana
NPI 1770254666

Grace Amalachukwu Madueke is a Psychiatric/Mental Health Nurse Practitioner based in Fort Wayne, IN and is specialized in Psychiatric/Mental Health. Grace Amalachukwu Madueke practices in Fort Wayne, IN. The NPI Number for Grace Amalachukwu Madueke is 1770254666 and holds a License No. 28243400A (Indiana).

The current practice location address for Grace Amalachukwu Madueke is 1587 Copper Mine Psge, Fort Wayne, IN and can be reached out via phone at 407-800-5830.

Location: 1587 Copper Mine Psge, Fort Wayne, IN, 46845-0128
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770254666
Provider Name
Grace Amalachukwu Madueke
Credential
Provider Entity Type
Individual
Gender
Female
Address
1587 Copper Mine Psge, Fort Wayne, IN, 46845-0128
Phone Number
407-800-5830
Fax Number
Provider Enumeration Date
09/22/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1587 Copper Mine Psge
City
Fort Wayne
State
Indiana
Zip
46845-0128
Phone Number
407-800-5830
Fax Number
person
Provider Business Mailing Address Details
Address
1587 Copper Mine Psge
City
Fort Wayne
State
Indiana
Zip
46845-0128
Phone Number
407-800-5830
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
28243400A (Indiana)
Definition
Definition to come...
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