Mckenna A. Gottfried
Nurse Practitioner in Fort Wayne, IN(View on Map)
Full Name
Mckenna A Gottfried
NPI Number
1003328592
NPI Type
Individual Provider
Gender
Female
Enumeration Date
10/25/2017
Specialties
(Taxonomies)Licenses
State
Indiana
Indiana
Ohio
License Number
71007667A
28194377A
APRN.CNP.0036791
Contact
Information
Purpose
Mailing
Location
Address
11109 PARKVIEW PLAZA DR # 117
3909 NEW VISION DR
City
Fort Wayne
Fort Wayne
State
IN
IN
Postal Code
46845-1701
46845-1725
Country
US
US
Telephone Number
N/A
(260) 425-5500
Health Information Exchange
Endpoint Type
DIRECT
FHIR
FHIR
Endpoint
mgottfried122877@Direct.Parkviewexchange.com
https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/
https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/
Endpoint Description
Unknown
Unknown
Unknown
Use
Unknown
Unknown
Unknown
Content Type
Unknown
Unknown
Unknown
Affiliation
N
N
N
Endpoint Location
5693 YMCA Park Dr WFort Wayne, IN468353280US
5693 YMCA Park Dr WFort Wayne, IN468353280US
5693 YMCA Park Dr WFort Wayne, IN468353280US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/30/2024
Provider Address
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