Individual
ANICIA NICOLE HOWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
700 BROADWAY, FORT WAYNE, IN 46802-1402
(260) 344-4035
(260) 969-9272
Mailing address
6435 W JEFFERSON BLVD, PMB 109, FORT WAYNE, IN 46804-6203
(260) 344-4035
(260) 969-9272
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28220617A
IN
Other
Enumeration date
09/20/2021
Last updated
09/20/2021
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