Individual
LYNN ANN HUETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1717 S CALHOUN ST, FORT WAYNE, IN 46802
(260) 458-2641
Mailing address
1717 S CALHOUN ST, FORT WAYNE, IN 46802-5257
(260) 458-2641
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28054788A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200953840
—
IN
Enumeration date
07/10/2009
Last updated
07/05/2018
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