Individual
RENE MICHELLE PHILLIPPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C,PMHNP-BC
Contact information
Practice address
7230 ENGLE RD STE 102, FORT WAYNE, IN 46804-2234
(260) 820-0605
Mailing address
7230 ENGLE RD STE 102, FORT WAYNE, IN 46804-2234
(260) 820-0605
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
28170462A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
28170462A
IN
Other
Enumeration date
08/17/2018
Last updated
09/18/2024
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