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Individual

BEATRICE K TROXELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
11115 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(260) 672-6443
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
01474
OH
363L00000X
Nurse Practitioner
Primary
71010493A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000 312026
ANTHEM 344428256
OH
01
000000312026
ANTHEM 344428794
OH
05
2058142
OH
05
4468070
MI
05
4476902
MI
Enumeration date
07/14/2005
Last updated
11/17/2020
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