Ellise Suzanne Koenn, NP is a family nurse practitioner in Fort Wayne, IN. Ellise Suzanne Koenn, NP NPI is 1952897092. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
10228 DUPONT CIRCLE DR E STE 100
FORT WAYNE, IN
ZIP 46825-611
Phone: (260) 222-7401
Fax: (260) 209-5956
The NPI 1952897092 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 7/2/2018 and was last updated on 2/1/2023.