Individual
MS. ANN NATASHA ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
6324 CONSTITUTION DR, FORT WAYNE, IN 46804-1518
(260) 432-7339
(260) 969-0114
Mailing address
PO BOX 236, LAGRANGE, IN 46761-0236
(260) 463-2133
(260) 463-3775
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28205109A
IN
Other
Enumeration date
02/01/2024
Last updated
08/27/2025
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