Individual
MRS. MARIANNE CAROL REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2121 LAKE AVE, FORT WAYNE, IN 46805-5100
(260) 460-1394
(260) 460-1394
Mailing address
2928 HOMESTEAD CT, FORT WAYNE, IN 46804
(336) 406-1070
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28219349A
IN
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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