Individual
ANITA LOUISE DOCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
14303 W CEDAR LAKE DR, FORT WAYNE, IN 46845-9642
(260) 438-8863
Mailing address
14303 W CEDAR LAKE DR, FORT WAYNE, IN 46845-9642
(260) 438-8863
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71002180A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000490404
ANTHEM BLUE CROSS
IN
Enumeration date
07/27/2006
Last updated
03/17/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us