Whalio Doctors

NPI 1023296712

Angela C Despenza, LPN

Practitioner Licensed Practical Nurse Fort Wayne, IN

Practice location

Address
909 E State Blvd, Fort Wayne, IN 46805-3404
Phone
(260) 481-2700
Fax
(260) 481-2717

Registered specialties

Licensed Practical Nurse Primary
Nursing Service Providers Taxonomy 164W00000X Licence 27058261A (IN)

Registry record

NPI
1023296712
Entity type
Individual
Sex (as registered)
Female
NPI issued
5 Feb 2008
Record last updated
5 Feb 2008

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.