FELICIA ANNE COLCLESSER

FORT WAYNE, IN
NPI1932325644
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71001217B)
Enumeration Date2007-04-18
Last Update Date2007-07-08
Business Address
-- FELICIA ANNE COLCLESSER NP
5909 ILLINOIS RD
FORT WAYNE, IN 46804-1159
Phone number: 260-432-6026
Mailing Address
-- FELICIA ANNE COLCLESSER NP
4131 N WASHINGTON RD
FORT WAYNE, IN 46804-1821
Phone number: 260-436-7255