Individual
ASHLEY HELENE BOETTCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1717 S CALHOUN ST, FORT WAYNE, IN 46802-5257
(260) 458-2641
(260) 458-3093
Mailing address
1717 S CALHOUN ST, FORT WAYNE, IN 46802-5257
(260) 458-2641
(260) 458-3093
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71005661A
IN
363LF0000X
Family Nurse Practitioner
Primary
71005661A
IN
Other
Enumeration date
09/02/2015
Last updated
09/02/2015
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