MAKAYLA ANN DATKUN

FORT WAYNE, IN
NPI1073345872
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IN  71015857A)
Enumeration Date2024-08-19
Last Update Date2024-11-15
Business Address
MAKAYLA ANN DATKUN FNP-BC
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845-1701
Phone number: 260-672-6637
Mailing Address
MAKAYLA ANN DATKUN FNP-BC
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number: