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Individual

REBECCA CRONIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, CNM

Contact information

Practice address
1818 CAREW ST STE 300, FORT WAYNE, IN 46805-4764
(260) 425-6650
(260) 422-0086
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701

Taxonomy

Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
28173246A
IN
367A00000X
Advanced Practice Midwife
Primary
09000294A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300073543
IN
Enumeration date
03/29/2017
Last updated
08/30/2023
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