Individual
HEATHER KORTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7601 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4133
(260) 436-8686
Mailing address
180 TREMONT AVE, FORT THOMAS, KY 41075-1937
(859) 620-7271
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28189048A
IN
363L00000X
Nurse Practitioner
Primary
71007924A
IN
Other
Enumeration date
02/15/2018
Last updated
06/23/2021
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