Individual
MELISSA SUE OTTENWELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
10528 COLDWATER RD, FORT WAYNE, IN 46845-1268
(260) 338-1700
(260) 338-1781
Mailing address
10528 COLDWATER RD, FORT WAYNE, IN 46845-1268
(260) 338-1700
(260) 338-1781
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28169657A
IN
363LF0000X
Family Nurse Practitioner
Primary
71004278A
IN
Other
Enumeration date
11/15/2012
Last updated
02/24/2026
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