Individual
MRS. PAULA VNUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11050 PARKVIEW CIRCLE DR, FORT WAYNE, IN 46845
(833) 724-8326
(260) 266-7585
Mailing address
3702 NEW VISION DR BLDG B, FORT WAYNE, IN 46845-1703
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
022593
OH
363L00000X
Nurse Practitioner
Primary
71009072A
IN
Other
Enumeration date
04/04/2018
Last updated
07/11/2019
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