Individual
MELINDA BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11143 PARKVIEW PLAZA DR STE 207, FORT WAYNE, IN 46845-1728
(260) 425-6330
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71010000A
IN
Other
Enumeration date
03/17/2020
Last updated
10/14/2022
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