Individual
JOHN C WESTHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(260) 266-2500
(260) 266-2514
Mailing address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28173615A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201169860
—
IN
Enumeration date
06/20/2013
Last updated
10/03/2022
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