Individual
JANET BAKER ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN FNP
Contact information
Practice address
909 E STATE BLVD, FORT WAYNE, IN 46805-3404
(260) 481-2700
(260) 481-2838
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71002748A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200916440
—
IN
Enumeration date
09/21/2008
Last updated
03/31/2025
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