Miss Kori B Engdahl, CNM, MSN | |
510 Smaltz Way, Auburn, IN 46706-0612 | |
(260) 927-0035 | |
(260) 927-0036 |
Full Name | Miss Kori B Engdahl |
---|---|
Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 510 Smaltz Way, Auburn, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518262807 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | 28160840A (Indiana) | Secondary |
367A00000X | Advanced Practice Midwife | 09000204A (Indiana) | Primary |
Entity Name | Lutheran Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164662805 PECOS PAC ID: 4981751617 Enrollment ID: O20090414000705 |
Mailing Address | Practice Location Address |
---|---|
Miss Kori B Engdahl, CNM, MSN 6920 Pointe Inverness Way Ste 200, Fort Wayne, IN 46804-7934 Ph: (260) 927-0035 | Miss Kori B Engdahl, CNM, MSN 510 Smaltz Way, Auburn, IN 46706-0612 Ph: (260) 927-0035 |
Ms. Aubrey Brinneman Hawk, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 510 Smaltz Way, Auburn, IN 46706 Phone: 260-927-0035 Fax: 260-927-0036 | |
Mrs. Britte Nihart, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1310 E 7th St Ste M, Auburn, IN 46706 Phone: 260-927-0035 Fax: 260-927-0036 | |
Mrs. Michelle Elaine Hileman, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1310 E 7th St, Suite M, Auburn, IN 46706 Phone: 260-927-0035 Fax: 260-927-0036 | |
Mrs. Stephanie M Vanderhorst, CNM MSN Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 510 Smaltz Way, Auburn, IN 46706 Phone: 260-927-0035 Fax: 260-927-0036 |