Healthcare Provider Details

I. General information

NPI: 1427975507
Provider Name (Legal Business Name): ZARNI HTWE HTWE THOMAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10732 TRADE WIND CT
FORT WAYNE IN
46825-2662
US

IV. Provider business mailing address

10732 TRADE WIND CT
FORT WAYNE IN
46825-2662
US

V. Phone/Fax

Practice location:
  • Phone: 260-888-6621
  • Fax:
Mailing address:
  • Phone: 260-888-6621
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number28226078A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: