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Individual

CINAMON L DONLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
8028 CARNEGIE BLVD STE 200, FORT WAYNE, IN 46804-5789
(260) 422-7455
(260) 422-4125
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71003822A
IN
363LF0000X
Family Nurse Practitioner
71003822A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000747983
ANTHEM
IN
05
201046750
IN
Enumeration date
08/26/2011
Last updated
10/20/2022
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