Individual
MISS KORI B ENGDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, MSN
Contact information
Practice address
510 SMALTZ WAY, AUBURN, IN 46706-0612
(260) 927-0035
(260) 927-0036
Mailing address
6920 POINTE INVERNESS WAY STE 200, FORT WAYNE, IN 46804-7934
(260) 927-0035
(260) 927-0036
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
09000204A
IN
367A00000X
Advanced Practice Midwife
28160840A
IN
Other
Enumeration date
01/18/2011
Last updated
01/31/2024
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