ANDREA PLACE

FORT WAYNE, IN
NPI1467024455
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71011572)
Additional Taxonomies207Q00000X Family Medicine
(Licence: IN  28229563A)
363LF0000X Nurse Practitioner, Family
(Licence: IN  28229563A)
Enumeration Date2021-07-11
Last Update Date2022-07-20
Business Address
ANDREA PLACE FNP-C
7916 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4140
Phone number: 260-434-6412
Mailing Address
ANDREA PLACE FNP-C
6920 POINTE INVERNESS WAY STE 200
FORT WAYNE, IN 46804-7934
Phone number: 260-434-6403