Individual
MEGAN VANDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
909 E STATE BLVD, FORT WAYNE, IN 46805-3458
(260) 481-2700
Mailing address
909 E STATE BLVD, FORT WAYNE, IN 46805-3458
(260) 481-2700
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71010420A
IN
Other
Enumeration date
11/29/2020
Last updated
11/29/2020
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