Provider Demographics
NPI:1528883279
Name:NWAY, HNIN (NP)
Entity type:Individual
Prefix:
First Name:HNIN
Middle Name:
Last Name:NWAY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4118 NANTUCKET DR
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46815-5623
Mailing Address - Country:US
Mailing Address - Phone:260-312-6202
Mailing Address - Fax:
Practice Address - Street 1:3955 W WASHINGTON CENTER RD
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46818-1526
Practice Address - Country:US
Practice Address - Phone:317-660-8503
Practice Address - Fax:260-233-7905
Is Sole Proprietor?:No
Enumeration Date:2024-11-18
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71016166A363L00000X
IN28231273A163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse