Individual
NANCY JEAN EHMKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11151 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845
(260) 266-8274
(260) 266-8275
Mailing address
11151 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845
(260) 266-8274
(260) 266-8275
Taxonomy
Speciality
Code
Description
License number
State
364SX0200X
Oncology Clinical Nurse Specialist
Primary
28087799A
IN
Other
Enumeration date
03/22/2019
Last updated
03/22/2019
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