Individual
MRS. CHRISTIANAH AGUNANNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
14903 SANDSTONE DR, FORT WAYNE, IN 46814-8888
(260) 249-0409
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71012560A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP61678476
WA
3747P1801X
Personal Care Attendant
20-0149891
IN
Other
Enumeration date
12/10/2021
Last updated
04/01/2026
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