NPI 1134530967

Lisa M. Fedderke, MIDWIFE

Practitioner Advanced Practice Midwife Fort Wayne, IN

Practice location

Address: 8028 Carnegie Blvd STE 300, Fort Wayne, IN 46804-5788
Phone: (260) 425-6650
Fax: (260) 755-6233
Mailing address: 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701

Registered specialties (2)

Advanced Practice Midwife Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence 09000298 (IN)

Other Advanced Practice Midwife providers in Indiana →

Advanced Practice Midwife

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence 15865NM (OH)

Registry record

NPI: 1134530967
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 May 2014
Record last updated: 4 Jun 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.