NPI 1225208002

Shauna J Durhman

Practitioner Contractor Fort Wayne, IN

Practice location

Address: 1211 Fulton St APT #1, Fort Wayne, IN 46802-3321
Phone: (612) 270-0342

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 07192 (NC)

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Registry record

NPI: 1225208002
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Mar 2008
Record last updated: 7 Mar 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.