Individual
ELIZABETH L MCGEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1720 BEACON ST, FORT WAYNE, IN 46805-4749
(260) 373-8000
(260) 373-8034
Mailing address
PO BOX 1034, FORT ASHBY, WV 26719-1034
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28117043A
IN
363L00000X
Nurse Practitioner
71000573A
IN
363LF0000X
Family Nurse Practitioner
71000573A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71000573A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200273790
—
IN
Enumeration date
04/20/2006
Last updated
05/21/2023
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