Individual
MS. MICHELE L KADENKO-MONIRIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-CNS AGCNS-BC
Contact information
Practice address
2200 RANDALLIA DR, FORT WAYNE, IN 46805-4699
(260) 312-5083
Mailing address
14522 WATERBROOK RD, FORT WAYNE, IN 46814-9141
(260) 312-5083
Taxonomy
Speciality
Code
Description
License number
State
364SC0200X
Critical Care Medicine Clinical Nurse Specialist
2811713A
IN
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
28117213A
IN
Other
Enumeration date
05/04/2022
Last updated
05/04/2022
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