Individual
MRS. ELIZABETH ANNE MYSLIWIEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
800 BROADWAY STE 100, FORT WAYNE, IN 46802-2149
(260) 425-2630
(260) 425-2631
Mailing address
800 BROADWAY STE 100, FORT WAYNE, IN 46802-2149
(260) 425-2630
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71014932A
IN
363LF0000X
Family Nurse Practitioner
28153761A
IN
Other
Enumeration date
07/05/2022
Last updated
09/15/2025
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