IndividualActive
Olivia Whitlock
NPI 1053244871 · General Practice Registered Nurse · Fort Wayne, IN
Provider details
- NPI number
- 1053244871
- Entity type
- Individual
- Primary specialty
- General Practice Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- RN.552904 (OH)
Specialties & taxonomies
Nursing Service Providers
Practice location
11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Phone: (260) 266-1000
Approximate (ZIP-level) locationGet directions
Mailing address
7949 State Route 107
Montpelier, OH 43543-9723
Registry dates
- Enumerated
- 2026-06-03
- Last updated
- 2026-06-03
- Certified
- 2026-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.