Individual
ALICIA ANN DOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
922 SKILLET AVE, HUNTERTOWN, IN 46748-0109
(260) 312-8172
Mailing address
6326 CONSTITUTION DR, FORT WAYNE, IN 46804-1518
(260) 312-8172
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71011646A
IN
Other
Enumeration date
10/08/2021
Last updated
12/08/2022
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