Individual
KARIN LUCILLE MOHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
11108 PARKVIEW CIRCLE DR, FORT WAYNE, IN 46845
(260) 266-5700
(260) 266-5910
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71004076A
IN
363LF0000X
Family Nurse Practitioner
28150364A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000782738
ANTHEM
IN
05
—
201087990
—
IN
Enumeration date
08/21/2012
Last updated
10/20/2022
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