Individual
AMBER APPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
7333 W JEFFERSON BLVD, FORT WAYNE, IN 46804-6280
(260) 435-7839
Mailing address
7333 W JEFFERSON BLVD, FORT WAYNE, IN 46804-6280
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28178744A
IN
363LF0000X
Family Nurse Practitioner
Primary
71007689A
IN
Other
Enumeration date
09/21/2017
Last updated
12/05/2017
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