Individual
NOELLE COLGLAZIER
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) 426-5431
(260) 426-5431
Mailing address
5721 MONROEVILLE RD, FORT WAYNE, IN 46816-9441
(317) 697-9104
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
28159067A
IN
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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