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Individual

AMY SUE HANCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
3898 NEW VISION DR, FORT WAYNE, IN 46845
(260) 425-5750
(260) 425-5755
Mailing address
3702 NEW VISION DR, BLDG B, FORT WAYNE, IN 46845-1703
(260) 266-8210

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28103281A
IN
363L00000X
Nurse Practitioner
Primary
71002129A
IN

Other

Enumeration date
04/14/2008
Last updated
05/23/2018
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