Individual provider · NPI-1

Eliane Suzanne Coleman

Anesthesiologist Assistant · Fort Wayne, IN

NPI number1487598736
StatusActive
Last updated in NPPESApr 16, 2026

Details

NPI
1487598736
Entity type
Individual (NPI-1)
Name
Eliane Suzanne Coleman
Sex
Female
Sole proprietor
No
Enumeration date
Apr 16, 2026
Certification date
Apr 16, 2026
Last updated
Apr 16, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367H00000X Anesthesiologist Assistant–INYes

Other names

  • Eliane Suzanne De Jong (Former Name)

Practice location

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Phone 260-266-1000

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Phone 260-266-1000

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