FELICIA ANNE COLCLESSER


Address: 5909 Illinois Rd, Fort Wayne, IN 46804-1159
Phone: 2604326026

FELICIA ANNE COLCLESSER (NPI# 1932325644) 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) 1932325644
Entity Type Individual
Full Name FELICIA ANNE COLCLESSER
Credential NP
Practice Address 5909 Illinois Rd
Fort Wayne
IN 46804-1159
Mailing Address 4131 N Washington Rd
Fort Wayne
IN 46804-1821
Practice Telephone 2604326026
Mailing Telephone 2604367255
Enumeration Date 2007-04-18
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
71001217B IN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 5909 ILLINOIS RD
City FORT WAYNE
State IN
Zip Code 46804-1159

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326063298 Arcadia Healthcare Solutions, Inc. Nursing Care 5909 Illinois Rd, Fort Wayne, IN 46804-1159 2006-07-13
1649702176 Chris Johnson Pharmacist 5909 Illinois Rd, Fort Wayne, IN 46804-1159 2017-04-03
1003228974 Margaret Mcdonald Pharmacist 5909 Illinois Rd, Fort Wayne, IN 46804-1159 2014-05-27
1245642461 Jeremy Thain Pharmacist 5909 Illinois Rd, Fort Wayne, IN 46804 2014-05-22
1598177875 Stephen Saharian Pharmacist 5909 Illinois Rd, Fort Wayne, IN 46804-1159 2014-05-21
1336550789 Steven Becker Pharmacist 5909 Illinois Rd, Fort Wayne, IN 46804-1159 2014-05-19
1659619427 Usv Optical Inc. Technician/Technologist 5909 Illinois Rd, Fort Wayne, IN 46804-1159 2013-01-29
1841560646 Meijer Stores Limited Partnership Durable Medical Equipment & Medical Supplies 5909 Illinois Rd, Fort Wayne, IN 46804-1159 2012-01-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396350344 Derek Mumaw Physical Therapist 8420 Illinois Rd, Fort Wayne, IN 46804 2020-09-15
1942840228 Erin M Mason Behavior Technician 5601 Coventry Ln, Fort Wayne, IN 46804 2020-01-14
1346880879 Emily A Abdalla Behavior Technician 5601 Coventry Ln., Fort Wayne, IN 46804 2020-01-13
1083265433 Fort Wayne Endodontics Dentist 9407 Illinois Rd, Fort Wayne, IN 46804 2019-09-26
1689140949 Harrison Dental Group II, LLC Dentist 1333 Getz Rd, Fort Wayne, IN 46804 2018-10-15
1346731908 Erin Nicole Zimmerman Nurse Practitioner 10170 Illinois Rd # 14, Fort Wayne, IN 46804 2018-05-19
1417446022 Mary Harrington Physical Therapist 3320 Copper Hill Run, Fort Wayne, IN 46804 2018-05-09
1942701214 Joshawa Todd Torres Marriage & Family Therapist 5651 Coventry Ln # 116, Fort Wayne, IN 46804 2018-02-22
1194235408 Mitchell Kory Meyer Specialist/Technologist 9125 Yellow Tree Ct, Fort Wayne, IN 46804 2017-10-02
1902324916 Emily Rene Sagstetter Specialist/Technologist 6034 Liberty Glade Ct, Fort Wayne, IN 46804 2017-08-30
Find all providers in zip 46804

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
1518566397 Stacey Renee Pulver Nurse Practitioner 13134 Hollow Oak Rd, Fort Wayne, IN 46845-2327 2020-10-22
1649878554 Heather Ormiston-leclear Nurse Practitioner 3800 N Anthony Blvd # Cc1335, Fort Wayne, IN 46805-1430 2020-10-13
1669081618 Carly Ann Nahrwold Nurse Practitioner 7025 Old Trail Rd # 9574, Fort Wayne, IN 46809-2713 2020-07-27
1932725942 Health Essential LLC Nurse Practitioner 3030 Lake Ave Ste 14, Fort Wayne, IN 46805-5428 2020-06-25
1942824842 Carissa Miller Nurse Practitioner 707 Rollingwood Ln, Fort Wayne, IN 46845-1088 2020-06-05
1891329819 Jasmine Monae Tubbs Nurse Practitioner 875 Petal Way, Fort Wayne, IN 46816-8900 2020-02-28
1235780362 Elizabeth Rose Lichtsinn Nurse Practitioner 3919 W Jefferson Blvd Ste 200, Fort Wayne, IN 46804-6811 2019-09-20
1033676275 Amanda Warner Nurse Practitioner 2229 Woods Rd, Fort Wayne, IN 46818-9539 2019-02-25
1669940714 Brookelyn Agler Nurse Practitioner Summit Radiology, PC, 5001 Us Highway 30 W, Suite D, Fort Wayne, IN 46818-9701 2018-11-07
1346731908 Erin Nicole Zimmerman Nurse Practitioner 10170 Illinois Rd # 14, Fort Wayne, IN 46804 2018-05-19
Find all providers in FORT WAYNE

Competitor

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City FORT WAYNE
Zip Code 46804

Improve Information

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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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