Individual
BRITTANY E KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6130 TRIER RD, FORT WAYNE, IN 46815-5378
(260) 469-6603
Mailing address
3926 NEW VISION DR, FORT WAYNE, IN 46845-1712
(260) 266-8210
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28196340A
IN
363LF0000X
Family Nurse Practitioner
Primary
71007386A
IN
Other
Enumeration date
06/02/2017
Last updated
09/07/2017
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