Individual
MARY RICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2121 LAKE AVE, FORT WAYNE, IN 46805-5100
(260) 426-5431
Mailing address
10532 QUAIL RUN, FORT WAYNE, IN 46845-8803
(260) 760-2569
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
28090491A
IN
Other
Enumeration date
03/02/2023
Last updated
03/02/2023
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