GLENDA ENSWEILER


Address: 303 S Main St Ste 212, Mishawaka, IN 46544-2160
Phone: 5742540800

GLENDA ENSWEILER (NPI# 1891043212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891043212
Entity Type Individual
Full Name GLENDA ENSWEILER
Credential RN
Practice Address 303 S Main St Ste 212
Mishawaka
IN 46544-2160
Mailing Address 3512 Stellhorn Rd
Fort Wayne
IN 46815-4631
Practice Telephone 5742540800
Practice Fax Number 5742540812
Mailing Telephone 2604839081
Mailing Fax Number 2604839196
Enumeration Date 2012-08-15
Last Update Date 2019-05-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WX0003X Registered Nurse
Specialization: Obstetric, Inpatient
RN-039913 AZ Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP5651 AZ Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN APN LICENSE 71006868A 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
3512 Stellhorn Rd, Fort Wayne, IN 468154631 2604839081 2604839196

Office Location

Street Address 303 S MAIN ST STE 212
City MISHAWAKA
State IN
Zip Code 46544-2160

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720692676 Lynnette Markowicz Occupational Therapist 1540 S. Logan St, Mishawaka, IN 46544 2020-09-08
1902429822 Hellenic Senior Living of Mishawaka LLC Assisted Living Facility 1540 S. Logan Street, Mishawaka, IN 46544 2020-05-27
1184275422 Lorrajean A Gleva Technician 203 Eastgate Circle, Mishawaka, IN 46544 2019-09-27
1376072785 Aims, LLC Psychologist 1113 Mossy Lane, Mishawaka, IN 46544 2017-06-08
1760835912 Ophelia Ansari Nurse Practitioner 4501 Linconway East, Mishawaka, IN 46544 2016-07-22
1598153355 Hearing Aid Service Hearing Instrument Specialist 3718 Lincolnway E, Mishawaka, IN 46544 2015-01-02
1437587953 Christopher Ryan Hazel Dentist 544 Lincolnway West, Mishawaka, IN 46544 2013-10-18
1699015941 Frank Walerko Urology 809 Bittersweet Cove Drive, Mishawaka, IN 46544 2013-02-25
1023251337 Josephine Schimizzi Family Medicine 1505 South Spring Street, Mishawaka, IN 46544 2009-04-16
1881831147 Walgreen Co Pharmacy 4620 Lincolnway E, Mishawaka, IN 46544 2009-01-08
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467092908 Tori Driver Nurse Practitioner 3005 Grape Rd Ste B, Mishawaka, IN 46545-2709 2020-01-13
1093272593 Regina Lynn Yoder Nurse Practitioner 303 S Main St Ste 111, Mishawaka, IN 46544-2159 2019-02-21
1376021725 Kaley Michelle Marino Nurse Practitioner 1113 Mossy Ln, Mishawaka, IN 46544-9055 2018-07-29
1386192870 Melinda C Nwanganga Nurse Practitioner 4501 Lincolnway E, Mishawaka, IN 46544-4035 2016-09-14
1760835912 Ophelia Ansari Nurse Practitioner 4501 Linconway East, Mishawaka, IN 46544 2016-07-22
1457730038 Melissa Anne Douthit Nurse Practitioner 3665 Park Pl W Ste 300, Mishawaka, IN 46545 2015-05-28
1578692794 Lynn Davis Figg Nurse Practitioner 611 East Douglas Road, Suite 405, Mishawaka, IN 46545-1468 2007-03-05
1376557702 Patricia L Jackson Nurse Practitioner 230 W Catalpa Dr, Suite D, Mishawaka, IN 46545-8321 2006-07-28
1467406074 Saint Joseph Regional Medical Center, Inc. Nurse Practitioner 60101 Bodnar Blvd Ste 100b, Mishawaka, IN 46544-9340 2006-05-19
1518955327 Tori Dawn Clabaugh Nurse Practitioner 316 Indian Ridge Blvd, Mishawaka, IN 46545-9034 2005-10-06
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Competitor

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City MISHAWAKA
Zip Code 46544

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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