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NPI Code Detail

MEDICARE: VERONICA A PHILBIN RN, CNS

MEDICARE:   VERONICA A PHILBIN  RN, CNS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1364SP0808XPsychiatric/Mental Health Clinical Nurse Specialist7000048AIN

General Provider Information

NPI Number : 1679549034
Entity Type Code : Individual
Provider Name (Legal Business Name) : VERONICA A PHILBIN RN, CNS
Provider Business Mailing Address
First Line : 6920 POINTE INVERNESS WAY
Second Line : #250
City : FORT WAYNE
State : IN
Zip : 46804-7926
Country : US
Telephone Number : 260-436-4060
Fax Number : 260-436-5713
Provider Business Practice Location Address
First Line : 6920 POINTE INVERNESS WAY
Second Line : #250
City : FORT WAYNE
State : IN
Zip : 46804-7926
Country : US
Telephone Number : 260-436-4060
Fax Number : 260-436-5713
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2006
Last Update Date : 05/31/2012

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Directions to “ VERONICA A PHILBIN RN, CNS” Practice Location

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