Individual
BEVERLY LYNN MAUGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6326 CONSTITUTION DR, FT WAYNE, IN 46804
(260) 515-3275
(888) 803-6843
Mailing address
8488 FRITZ ROAD, FORT WAYNE, IN 46818
(260) 450-9665
(888) 803-6843
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71004010A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201076950
—
IN
Enumeration date
05/03/2012
Last updated
12/08/2025
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