NPI 1003328592

McKenna a Gottfried

Practitioner Nurse Practitioner Fort Wayne, IN

Practice location

Address: 3909 New Vision Dr, Fort Wayne, IN 46845-1725
Phone: (260) 425-5500
Fax: (260) 425-5525
Mailing address: 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701

Registered specialties (3)

Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence 71007667A (IN)

Other Nurse Practitioner providers in Indiana →

Registered Nurse

Nursing Service Providers Taxonomy 163W00000X Licence 28194377A (IN)

Other Registered Nurse providers in Indiana →

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence APRN.CNP.0036791 (OH)

Registry record

NPI: 1003328592
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Oct 2017
Record last updated: 30 Jul 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.