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Individual

CLAUDIA J. BOBAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
4665 S STATE ROAD 5, SOUTH WHITLEY, IN 46787-9101
(260) 248-9980
(260) 248-9989
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71000450A
IN
363LF0000X
Family Nurse Practitioner
71000450A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000278947
ANTHEM
IN
05
200249610
IN
01
500004847
RAILROAD MEDICARE
IN
Enumeration date
01/11/2006
Last updated
10/20/2022
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