Kelly Wakefield, APRN.CNP
Nurse Practitioner, Women's Health in Fort Wayne, IN. Individual provider (NPI-1).
NPI number1164073557
StatusActive
Last updated in NPPESFeb 11, 2020
Details
- NPI
- 1164073557
- Entity type
- Individual (NPI-1)
- Name
- Kelly Wakefield
- Credential
- APRN.CNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 26, 2019
- Certification date
- Feb 11, 2020
- Last updated
- Feb 11, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LW0102X | Nurse Practitioner, Women's Health | 71009784A | IN | Yes |
Practice location
2700 Lafayette StFort Wayne, IN 46806-1100
Phone 260-702-4404 · Fax 260-744-3006
Mailing address
2700 Lafayette StFort Wayne, IN 46806-1100
Phone 260-702-4404 · Fax 260-744-3006
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All 7 Women's Health Nurse Practitioner providers in Fort Wayne · All 11,302 providers in Fort Wayne
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