Individual
AUDREY JANELLE ERNST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
416 E MAUMEE ST, ANGOLA, IN 46703-2015
(260) 344-4035
(260) 969-9272
Mailing address
6435 W JEFFERSON BLVD, FORT WAYNE, IN 46804-6203
(260) 344-4035
(260) 969-9272
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71011003A
IN
Other
Enumeration date
02/26/2021
Last updated
04/01/2021
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