IVY CUSTER

FORT WAYNE, IN
NPI1245955095
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IN  71013312A)
Enumeration Date2022-10-04
Last Update Date2023-03-23
Business Address
IVY CUSTER APRN
1234 E DUPONT RD STE 3
FORT WAYNE, IN 46825-1545
Phone number: 260-425-5970
Mailing Address
IVY CUSTER APRN
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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