Individual
NAVDEEP WAHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 N MAIN ST STE 304, CROWN POINT, IN 46307-1877
(574) 546-1900
(574) 546-1999
Mailing address
PO BOX 10299, FORT WAYNE, IN 46851-0299
(574) 546-1900
(574) 546-1999
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
AG08200063
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
71011012A
IN
Other
Enumeration date
11/27/2020
Last updated
04/21/2021
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