Michele L Kadenko-Monirian, APRN-CNS AGCNS-BC
Clinical Nurse Specialist, Gerontology in Fort Wayne, IN. Individual provider (NPI-1).
NPI number1467197319
StatusActive
Last updated in NPPESMay 4, 2022
Details
- NPI
- 1467197319
- Entity type
- Individual (NPI-1)
- Name
- Ms. Michele L Kadenko-Monirian
- Credential
- APRN-CNS AGCNS-BC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 4, 2022
- Certification date
- May 4, 2022
- Last updated
- May 4, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 364SG0600X | Clinical Nurse Specialist, Gerontology | 28117213A | IN | Yes |
| 364SC0200X | Clinical Nurse Specialist, Critical Care Medicine | 2811713A | IN |
Practice location
2200 Randallia DrFort Wayne, IN 46805-4699
Phone 260-312-5083
Mailing address
14522 Waterbrook RdFort Wayne, IN 46814-9141
Phone 260-312-5083
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