Individual
ANGELA K REDDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8 JOHN KISSINGER DR, WABASH, IN 46992-1648
(260) 425-5500
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
28211635A
IN
363L00000X
Nurse Practitioner
Primary
71011118A
IN
Other
Enumeration date
04/09/2021
Last updated
10/07/2022
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