IndividualActive
Deborah Baresic, WHNP
NPI 1336351089 · Obstetrics & Gynecology Nurse Practitioner · Fort Wayne, IN
Provider details
- NPI number
- 1336351089
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- WHNP
- Sex
- Female
- Sole proprietor
- No
- License
- 71000624A (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
7910 W Jefferson Blvd
Ste 301
Fort Wayne, IN 46804-4159
Phone: (260) 432-6250
Fax: (260) 432-6077
Approximate (ZIP-level) locationGet directions
Mailing address
6705 Woodcrest Dr
Fort Wayne, IN 46815-5568
Registry dates
- Enumerated
- 2007-05-04
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.