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Luann Deafenbaugh, NP — NPI 1003058454, Fort Wayne, IN | NPI Central

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NPI 1003058454

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Luann Deafenbaugh, NP

NPI 1003058454 · Nurse Practitioner · Fort Wayne, IN

Provider details

NPI number: 1003058454
Entity type: Individual
Primary specialty: Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Credential: NP
Sex: Female
Sole proprietor: No
License: 28067608 (IN)

Specialties & taxonomies

Nurse PractitionerPrimary363L00000XLicense 71002903A (IN)
Physician Assistants & Advanced Practice Nursing Providers
Family Nurse Practitioner363LF0000XLicense 28067608 (IN)
Physician Assistants & Advanced Practice Nursing Providers

Practice location

7910 W Jefferson Blvd Ste 108

Fort Wayne, IN 46804-4159

Phone: (260) 436-0800

Fax: (260) 483-1911

Approximate (ZIP-level) locationGet directions

More IN providers

Mailing address

Po Box 749495

Atlanta, GA 30374-9495

Additional practice locations (1)

1520 Provident Dr
Warsaw, IN 46580-3291
Phone: (574) 372-3800
Fax: (574) 372-5823

Registry dates

Enumerated: 2009-04-01
Last updated: 2024-12-18
Certified: 2024-12-18

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.