Individual
MICHAELA K ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11141 PARKVIEW PLAZA DR STE 305, FORT WAYNE, IN 46845-1715
(260) 266-8900
(260) 266-8935
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
28237013A
IN
363L00000X
Nurse Practitioner
Primary
71017148A
IN
Other
Enumeration date
04/08/2025
Last updated
12/29/2025
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