Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. PAMELA S DEKONINCK, MS, RN, AGPCNP-BC
Active Sole ProprietorMRS. PAMELA S DEKONINCK, MS, RN, AGPCNP-BC is a Gerontological Nurse Practitioner healthcare provider located in FORT WAYNE, Indiana. NPI 1639622772 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · FORT WAYNE, IN
Registration Details
- NPI Number
- 1639622772
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 25, 2016 (10.089422262268 yrs)
- Last Updated
- Jul 25, 2016
- License
-
28079817 (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2101 E COLISEUM BLVDWU 234FORT WAYNE, IN, 468051445Browse IN providers · Browse ZIP 46805
- Phone
- 2604815748
- Fax
- 2604815752
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
Other Gerontological Nurse Practitioner Providers in FORT WAYNE, IN
| Name | Credential | NPI |
|---|---|---|
| MARY CATHERINE PARKER | MSN, GNP-C | 1386661064 |
| MS. WILMA A COX | NP | 1790898088 |
| NIKKI J MANN | GNP-C | 1336278753 |
| AMANDA K LUTTER | NP | 1912322264 |
| ELIZABETH A ADAMS | NP | 1164847372 |
| JENNIFER FOLEY | NP | 1164831509 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.