Individual
ANGELA M SOBIECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7201 ENGLE RD, FORT WAYNE, IN 46804-2228
(260) 432-1800
(260) 432-1804
Mailing address
7201 ENGLE RD, FORT WAYNE, IN 46804-2228
(260) 432-1800
(260) 432-1804
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28160343A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28160343A
INDIANA RN LICENSE
IN
05
—
300017773
—
IN
01
—
71008275A
IN NP LICENSE
IN
Enumeration date
08/22/2018
Last updated
06/27/2019
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