KRISTEN N AZZUE
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1043175250- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 11115 PARKVIEW PLAZA DR, FORT WAYNE, IN, 468451701
- Phone
- (260) 266-5400
- Fax
- (260) 425-5715
Specialties & Taxonomies
Physician Assistant
Primary License: IN #10005238A
All Addresses
MAILING
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN, 468451701