NPI 1104002773
Roberta D Ingol, LPN
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
Registry record
- NPI
- 1104002773
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 14 Jan 2008
- Record last updated
- 14 Jan 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.