IndividualActive
Carol Stults, NP
NPI 1205115649 · Primary Care Nurse Practitioner · Fort Wayne, IN
Provider details
- NPI number
- 1205115649
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 28072562A (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
5649 Coventry Ln
Fort Wayne, IN 46804-7145
Phone: (260) 436-6565
Fax: (260) 459-1130
Approximate (ZIP-level) locationGet directions
Mailing address
5649 Coventry Ln
Fort Wayne, IN 46804-7145
Registry dates
- Enumerated
- 2011-08-16
- Last updated
- 2012-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.