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IPFW CENTER FOR HEALTHY LIVING: CAMPUS CLINIC AND WELLNESS PROGRAMS
NPI 1225584295
Nurse Practitioner - Gerontology in Fort Wayne, IN

Active since August 30, 2016
2101 E COLISEUM BLVD, WU 234, FORT WAYNE, IN 46805(260) 481-0400 Get Directions Write a Review

NPPES record last updated: August 30, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ipfw Center For Healthy Living: Campus Clinic And Wellness Programs NPPES

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

IPFW CENTER FOR HEALTHY LIVING: CAMPUS CLINIC AND WELLNESS PROGRAMS (NPI 1225584295) is a healthcare organization registered as a gerontology in Fort Wayne, Indiana and active in the NPI registry since August 2016. The organization lists Creasie E Hill, Health Clinic Office Manager, as its authorized official.

NPPES Registry Identity

NPI1225584295
Entity TypeOrganization
Primary Taxonomy363LG0600X
Legal Business NamePURDUE UNIVERSITY
Location Address2101 E COLISEUM BLVD, WU 234Fort Wayne, IN 46805-1445
Mailing Address2101 E Coliseum Blvd, Wu 234Fort Wayne, IN 46805-1445 · (260) 481-0400
Phone(260) 481-0400
Organization SubpartNo
Authorized OfficialCreasie E HillHealth Clinic Office Manager · (206) 481-6967
Enumeration DateAugust 30, 2016
✔ NPI 1225584295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in IN · 28079817
2101 E COLISEUM BLVD, Fort Wayne, IN 46805
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Other Names 1

Doing Business AsIpfw Center For Healthy Living: Campus Clinic And Wellness Programs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 18

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

NATNAEL SOLOMON
Student in an Organized Health Care Education/Training Program
2101 E COLISEUM BLVD
FORT WAYNE, IN 46805
Allen County (702) 969-2889
MINDY JOY YODER N.P.
Nurse Practitioner
2101 E COLISEUM BLVD, WALB 234
FORT WAYNE, IN 46805
Allen County (260) 481-5748
ANJALI NATARAJAN MD
Student in an Organized Health Care Education/Training Program
2101 E COLISEUM BLVD
FORT WAYNE, IN 46805
Allen County (260) 257-6831
NATHAN ALBRIGHT
Student in an Organized Health Care Education/Training Program
2101 E COLISEUM BLVD
FORT WAYNE, IN 46805
Allen County (260) 257-6831
TYLER MINNICH
Student in an Organized Health Care Education/Training Program
2101 E COLISEUM BLVD
FORT WAYNE, IN 46805
Allen County (260) 257-6831
LEO J CORRAL LAT, ATC
Specialist/Technologist (Athletic Trainer)
2101 E COLISEUM BLVD
FORT WAYNE, IN 46805
Allen County (260) 481-6656
TYRA KARMELLE GRISCHKE
Student in an Organized Health Care Education/Training Program
2101 E COLISEUM BLVD
FORT WAYNE, IN 46805
Allen County (260) 257-6831
ALEXANDER BUCHANAN
Student in an Organized Health Care Education/Training Program
2101 E COLISEUM BLVD
FORT WAYNE, IN 46805
Allen County (260) 257-6831

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 Purdue University's NPI number?

The NPI number for Purdue University is 1225584295. It was assigned to this organization in the NPPES registry on August 30, 2016. The provider is doing business as Ipfw Center For Healthy Living: Campus Clinic And Wellness Programs.

Where is Purdue University located?

Purdue University is located at 2101 E Coliseum Blvd Wu 234, Fort Wayne, IN 46805. The listed phone number is (260) 481-0400.

What is Purdue University's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Purdue University was last updated on August 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.