Individual
RUTH ELAINE WARTELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R. N., N.P.
Contact information
Practice address
8107 TRANQUILLA PL, FORT WAYNE, IN 46815-5781
(260) 485-7857
Mailing address
8107 TRANQUILLA PL, FORT WAYNE, IN 46815-5781
(260) 485-7857
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
28051745A
IN
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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