Individual
MRS. MELISSA LYNN BAUGHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11104 PARKVIEW CIRCLE DR, STE 110, FORT WAYNE, IN 46845-1730
(260) 460-3100
Mailing address
11104 PARKVIEW CIRCLE DR, STE 110, FORT WAYNE, IN 46845-1730
(260) 460-3100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71002884A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201077920
—
IN
Enumeration date
03/23/2009
Last updated
12/26/2012
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