Doctor Name: | ELLEN N UNDERWOOD |
NPI Number: | 1508858598 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 28139994A |
Business Practice Address: | 11104 Parkview Circle Dr Suite 310 Fort Wayne, IN - 468451672 |
Business Phone Number: | 2602665230 |
Business Fax Number: | 2602665238 |
Mailing Address: | 1234 E Dupont Rd, Suite 3 FORT WAYNE |
State: | IN |
Postal Code: | 468251545 |
Phone Number: | 2603739700 |
Fax Number: | 2603739740 |
NPI Enumeration Date: | 08/17/2005 |
NPI Last Update Date: | 03/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163W00000X |
License Number: | 28139994A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N. |