Individual
MRS. ANGELA LYNN BLOTKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5110 N CLINTON ST, FORT WAYNE, IN 46825-5735
(260) 469-6605
(260) 969-3066
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71003053A
IN
Other
Enumeration date
10/23/2009
Last updated
10/20/2022
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