NPI Code Details Logo

NPI 1962336537

NPI 1962336537 : CHRISTAL ANKNEY MSN, RN : FORT WAYNE, IN

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1962336537
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    CHRISTAL ANKNEY MSN, RN
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/10/2026
-----------------------------------------------------
    Last Update Date     |    06/10/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    3501 WARSAW ST 
-----------------------------------------------------
    City                 |    FORT WAYNE
-----------------------------------------------------
    State                |    IN
-----------------------------------------------------
    Zip                  |    46806-4175
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    260-458-2641
-----------------------------------------------------
    Fax                  |    260-969-2905
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    8353 PEARSON RD 
-----------------------------------------------------
    City                 |    CONVOY
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    45832-9158
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    163W00000X
-----------------------------------------------------
    Taxonomy Name        |    Registered Nurse
-----------------------------------------------------
    License Number       |    RR384385
-----------------------------------------------------
    License Number State |    OH
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    163WA0400X
-----------------------------------------------------
    Taxonomy Name        |    Addiction (Substance Use Disorder) Registered Nurse
-----------------------------------------------------
    License Number       |    RR384385
-----------------------------------------------------
    License Number State |    OH
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    163WC1500X
-----------------------------------------------------
    Taxonomy Name        |    Community Health Registered Nurse
-----------------------------------------------------
    License Number       |    RR384385
-----------------------------------------------------
    License Number State |    OH
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    163WI0600X
-----------------------------------------------------
    Taxonomy Name        |    Infection Control Registered Nurse
-----------------------------------------------------
    License Number       |    RR384385
-----------------------------------------------------
    License Number State |    OH
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    163WG0000X
-----------------------------------------------------
    Taxonomy Name        |    General Practice Registered Nurse
-----------------------------------------------------
    License Number       |    RR384385
-----------------------------------------------------
    License Number State |    OH
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.