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Hamutyinei Mamutse

NPI 1033742184 · on the registry since 2020

Practice

Address: 3512 Stellhorn Rd
Fort Wayne, IN 46815
Phone: (260) 483-9081
Fax: (260) 483-9196
Organisation at this address: Paragon Home Care, Inc
Extended Care Specialists, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 83

Registry record

Primary taxonomy: Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Licence states on file: OH
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2020-02-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana