Organization
HEALTH ESSENTIAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA M. STEWART-MARTIN DNP (OWNER)
(260) 580-6836
Entity
Organization
Contact information
Practice address
3030 LAKE AVE STE 14, FORT WAYNE, IN 46805-5428
(260) 749-0643
Mailing address
3030 LAKE AVE STE 14, FORT WAYNE, IN 46805-5428
(260) 749-0643
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/25/2020
Last updated
06/18/2021
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