IndividualActive
Sandra Owen, NA
NPI 1396447033 · VA Clinic/Center · Fort Wayne, IN
Provider details
- NPI number
- 1396447033
- Entity type
- Individual
- Primary specialty
- VA Clinic/CenterAmbulatory Health Care Facilities
- Credential
- NA
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2121 Lake Ave
Fort Wayne, IN 46805-5100
Phone: (260) 426-5431
Approximate (ZIP-level) locationGet directions
Mailing address
2121 Lake Ave
Fort Wayne, IN 46805-5100
Registry dates
- Enumerated
- 2023-03-20
- Last updated
- 2023-03-20
- Certified
- 2023-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.