Individual
MISS SIZHU PROSNIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.N
Contact information
Practice address
8233 GLENCARIN BLVD, FORT WAYNE, IN 46804-5784
(260) 425-5470
(260) 425-5475
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71012550A
IN
363LP2300X
Primary Care Nurse Practitioner
SP016746
PA
Other
Enumeration date
09/04/2013
Last updated
04/14/2025
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