SearchIndianaFamily Nurse Practitioner

Ellise Koenn, NP

NPI 1952897092 · on the registry since 2018

Practice

Address
10228 Dupont Circle Dr E Ste 100
Fort Wayne, IN 46825
Phone
(260) 222-7401
Fax
(260) 209-5956
Organisation at this address
Seven Hills Ob-Gyn Associates, Llc
Pain Management And Anesthesia Associates
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Additional practice sites

  • 107 Buffalo Street, Antwerp, OH

Registry record

Primary taxonomy
Family Nurse Practitioner
363LF0000X
Also registered as
Family Medicine Physician
Licence states on file
OH, IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-02-01

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