Individual
MISS KYLIE R WETZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
11123 PARKVIEW PLAZA DR STE 106, FORT WAYNE, IN 46845-1707
(260) 672-6550
(260) 672-6559
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71011123A
IN
Other
Enumeration date
04/05/2021
Last updated
01/04/2024
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