NPI 1366196008

Vernice Street, CRTT

Practitioner Critical Care Certified Respiratory Therapist Fort Wayne, IN

Practice location

Address: 2121 Lake Ave, Fort Wayne, IN 46805-5100
Phone: (260) 426-5431
Mailing address: 1918 Ardmore Ave APT 43, Fort Wayne, IN 46802-4822

Registered specialties

Critical Care Certified Respiratory Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2278C0205X Licence 3003273A (IN)

Other Respiratory Therapist, Certified providers in Indiana →

Registry record

NPI: 1366196008
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Feb 2022
Record last updated: 11 Feb 2022

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.