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Individual

MARY CATHERINE PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, GNP-C

Contact information

Practice address
2001 HOBSON RD, HERITAGE PARK, FORT WAYNE, IN 46805-4872
(260) 484-9557
Mailing address
5027 WOOD MANOR RUN, FORT WAYNE, IN 46835-8828
(260) 492-2599
(260) 485-0447

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
71000897A
IN

Other

Enumeration date
07/17/2006
Last updated
04/06/2023
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