IndividualActive
Audretta Atkins
NPI 1659911774 · Driver · Fort Wayne, IN
Provider details
- NPI number
- 1659911774
- Entity type
- Individual
- Primary specialty
- DriverOther Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 0500229390 (IN)
Specialties & taxonomies
Other Service Providers
Practice location
7883 Shaker Ct
Fort Wayne, IN 46804-5708
Phone: (260) 573-7728
Fax: (855) 710-7995
Approximate (ZIP-level) locationGet directions
Mailing address
7883 Shaker Ct
Fort Wayne, IN 46804-5708
Registry dates
- Enumerated
- 2020-01-07
- Last updated
- 2020-01-07
- Certified
- 2020-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.