NPI 1003058454

Luann Deafenbaugh, NP

Practitioner Nurse Practitioner Fort Wayne, IN

Practice location

Address: 7910 W Jefferson Blvd STE 108, Fort Wayne, IN 46804-4159
Phone: (260) 436-0800
Fax: (260) 483-1911
Mailing address: PO Box 749495, Atlanta, GA 30374-9495

Registered specialties (2)

Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence 71002903A (IN)

Other Nurse Practitioner providers in Indiana →

Family Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 28067608 (IN)

Registry record

NPI: 1003058454
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Apr 2009
Record last updated: 18 Dec 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.