Organization
PROGRESSIVE PSYCHIATRIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA E AGUNANNE DNP (MEMBER)
(260) 249-0409
Entity
Organization
Contact information
Practice address
14903 SANDSTONE DR, FORT WAYNE, IN 46814-8888
(260) 249-0409
Mailing address
429 E DUPONT RD # 1064, FORT WAYNE, IN 46825-2051
(260) 249-0409
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/16/2026
Last updated
04/16/2026
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