Individual
ANDREW C BARCHUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
2231 CAREW ST, FORT WAYNE, IN 46805-4713
(260) 373-9935
(260) 373-9926
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71003506
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000695610
ANTHEM
IN
05
—
201008300
—
IN
Enumeration date
12/15/2010
Last updated
10/20/2022
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