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Makayla Blain, NP
Family Nurse Practitioner in Fort Wayne, Indiana
NPI 1821606500

Makayla Blain is a Family Nurse Practitioner based in Fort Wayne, IN and is specialized in Family. Makayla Blain practices in Fort Wayne, IN and has the professional credentials of NP. The NPI Number for Makayla Blain is 1821606500 and holds a License No. 71010155A (Indiana).

The current practice location address for Makayla Blain is 1721 Magnavox Way, Fort Wayne, IN and can be reached out via phone at 260-748-3650 and via fax at 260-748-3651.

Location: 1721 Magnavox Way, Fort Wayne, IN, 46804-1537
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Provider Profile Details
NPI Number
1821606500
Provider Name
Makayla Blain
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1721 Magnavox Way, Fort Wayne, IN, 46804-1537
Phone Number
260-748-3650
Fax Number
260-748-3651
Provider Enumeration Date
07/17/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300040816 05 IN
institution
Provider Business Practice Location Address Details
Address
1721 Magnavox Way
City
State
Zip
46804-1537
Phone Number
260-748-3650
Fax Number
260-748-3651
person
Provider Business Mailing Address Details
Address
1721 Magnavox Way
City
State
Zip
46804-1537
Phone Number
260-748-3650
Fax Number
260-748-3651
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71010155A (Indiana)
Definition
Definition to come...
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