SIZHU PROSNIAK

FORT WAYNE, IN
NPI1689009193
Former NameSIZHU LIU
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IN  71012550A)
Additional Taxonomies363LP2300X Nurse Practitioner, Primary Care
(Licence: PA  SP016746)
Enumeration Date2013-09-04
Last Update Date2024-10-10
Business Address
Miss SIZHU PROSNIAK A.P.N
1818 CAREW ST STE 260
FORT WAYNE, IN 46805-4792
Phone number: 260-373-9250
Mailing Address
Miss SIZHU PROSNIAK A.P.N
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number: