NPI 1083203897

Amy Sue Smith, LPN

Practitioner Licensed Practical Nurse Fort Wayne, IN

Practice location

Address: 5050 N Clinton St, Fort Wayne, IN 46825-5886
Phone: (260) 484-8551
Fax: (260) 471-6674

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 27046922A (IN)

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Registry record

NPI: 1083203897
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Jan 2021
Record last updated: 15 Jan 2021

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.