Organization
HEALTHCARE PRACTITIONERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLINE MATVYA NURSE PRACTITIONER (OWNER)
(269) 450-3096
Entity
Organization
Contact information
Practice address
1010 W WASHINGTON CENTER RD, FORT WAYNE, IN 46825-4155
(260) 489-2552
Mailing address
PO BOX 15753, FORT WAYNE, IN 46885-5753
(269) 450-3096
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71001142A
IN
Other
Enumeration date
12/06/2007
Last updated
12/06/2007
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