Individual
MICHELE VIERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6326 CONSTITUTION DR, FORT WAYNE, IN 46804-1518
(260) 413-9262
(888) 803-6843
Mailing address
6326 CONSTITUTION DR, FORT WAYNE, IN 46804-1518
(260) 413-9262
(260) 927-2267
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71009061A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28214471A
RN
IN
01
—
71009061A
NP LICENSE
IN
Enumeration date
03/12/2019
Last updated
02/04/2020
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