Individual
WHITNEY FRIESEN NISLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2518 E DUPONT RD, FORT WAYNE, IN 46825-1675
(260) 432-4400
(260) 969-6898
Mailing address
2518 E DUPONT RD, FORT WAYNE, IN 46825-1675
(260) 432-4400
(260) 969-6898
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71007009A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71007009A
NP LICENSE
IN
Enumeration date
04/03/2017
Last updated
02/13/2019
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