IndividualActive
Glenda Gullion, RN BSN
NPI 1609057850 · General Practice Registered Nurse · Fort Wayne, IN
Provider details
- NPI number
- 1609057850
- Entity type
- Individual
- Primary specialty
- General Practice Registered NurseNursing Service Providers
- Credential
- RN BSN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 28124124A (IN)
Specialties & taxonomies
Nursing Service Providers
Nursing Service Providers
Practice location
4402 E State Blvd
Fort Wayne, IN 46815-6917
Phone: (260) 484-8830
Fax: (260) 483-1911
Approximate (ZIP-level) locationGet directions
Mailing address
12021 Shearwater Run
Fort Wayne, IN 46845-8719
Registry dates
- Enumerated
- 2007-11-15
- Last updated
- 2007-11-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.