Individual
HEATHER J WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
620 W NORTH ST, COLUMBIA CITY, IN 46725-1214
(260) 244-0202
(260) 248-8255
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71001938A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000531688
ANTHEM
—
05
—
200877550
—
IN
01
—
351992146
SAGAMORE
—
Enumeration date
06/15/2006
Last updated
10/03/2022
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