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MRS. PAMELA S DEKONINCK MS, RN, AGPCNP-BC
NPI 1639622772
Nurse Practitioner - Gerontology in Fort Wayne, IN

Active since July 25, 2016
2101 E COLISEUM BLVD, WU 234, FORT WAYNE, IN 46805(260) 481-5748(260) 481-5752 Get Directions Write a Review

NPPES record last updated: July 25, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Pamela S Dekoninck Ms, Rn, Agpcnp-bc NPPES

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

MRS. PAMELA S DEKONINCK MS, RN, AGPCNP-BC (NPI 1639622772) is an individual gerontology provider in Fort Wayne, Indiana, licensed in Indiana (28079817) and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1639622772
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMRS. PAMELA S DEKONINCKCredential: MS, RN, AGPCNP-BC
Location Address2101 E COLISEUM BLVD, WU 234Fort Wayne, IN 46805-1445
Mailing Address2101 E Coliseum Blvd, Wu 234Fort Wayne, IN 46805-1445 · (260) 481-5748 · Fax (260) 481-5752
Phone(260) 481-5748
Fax(260) 481-5752
Sole ProprietorYes
Enumeration DateJuly 25, 2016
✔ NPI 1639622772 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
Open in Google Maps ↗

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
PURDUE UNIVERSITY
Nurse Practitioner (Gerontology)
2101 E COLISEUM BLVD, WU 234
FORT WAYNE, IN 46805
Allen County (260) 481-0400
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

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 Pamela Dekoninck's NPI number?

The NPI number for Pamela Dekoninck is 1639622772. It was assigned to this individual provider in the NPPES registry on July 25, 2016.

Where is Pamela Dekoninck located?

Pamela Dekoninck practices at 2101 E Coliseum Blvd Wu 234, Fort Wayne, IN 46805. The listed phone number is (260) 481-5748.

What is Pamela Dekoninck'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 Pamela Dekoninck was last updated on July 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.