MRS. MARY EMILY TITCOMB PNP
NPI 1205940442
Nurse Practitioner - Pediatrics in Fort Wayne, IN

Active since August 17, 2006
1717 S CALHOUN ST, FORT WAYNE, IN 46802(260) 458-2641(260) 458-3093 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Mary Emily Titcomb Pnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MARY EMILY TITCOMB PNP (NPI 1205940442) is an individual pediatrics provider in Fort Wayne, Indiana, licensed in Indiana (28116030A) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1205940442
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMRS. MARY EMILY TITCOMBCredential: PNP
Location Address1717 S CALHOUN STFort Wayne, IN 46802-5257
Mailing AddressPo Box 11949Fort Wayne, IN 46862-1949 · (260) 458-2641 · Fax (260) 458-3093
Fax(260) 458-3093
Sole ProprietorNo
Enumeration DateAugust 17, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1205940442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in IN · 28116030A
1717 S CALHOUN ST, Fort Wayne, IN 46802

Other Identifiers 1

Other84474-06IN · Pnp

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
1717 S CALHOUN ST
FORT WAYNE, IN 46802
Physician Assistant
1717 S CALHOUN ST
FORT WAYNE, IN 46802
Optometrist
1717 S CALHOUN ST
FORT WAYNE, IN 46802
Dentist (General Practice)
1717 S CALHOUN ST
FORT WAYNE, IN 46802
Nurse Practitioner (Women's Health)
1717 S CALHOUN ST
FORT WAYNE, IN 46802
Pediatrics
1717 S CALHOUN ST
FORT WAYNE, IN 46802
Dentist
1717 S CALHOUN ST
FORT WAYNE, IN 46802
Dentist (General Practice)
1717 S CALHOUN ST
FORT WAYNE, IN 46802

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Titcomb's NPI number?

The NPI number for Mary Titcomb is 1205940442. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Mary Titcomb located?

Mary Titcomb practices at 1717 S Calhoun St, Fort Wayne, IN 46802. The listed phone number is (260) 458-2641.

What is Mary Titcomb's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Mary Titcomb was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.