Individual
MS. DIANA L CASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
2514 E DUPONT RD, SUITE 100, FORT WAYNE, IN 46825-1623
(260) 490-7337
(260) 490-8028
Mailing address
2514 E DUPONT RD, SUITE 100, FORT WAYNE, IN 46825-1623
(260) 490-7337
(260) 490-8028
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
28055721A
IN
Other
Enumeration date
09/26/2007
Last updated
09/26/2007
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