Individual
DEANNA FORSYTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3512 STELLHORN RD, FORT WAYNE, IN 46815-4631
(260) 483-9081
(260) 483-9196
Mailing address
PO BOX 392552, PITTSBURGH, PA 15251-9500
(512) 575-8028
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71009066A
IN
Other
Enumeration date
06/05/2019
Last updated
07/16/2019
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