Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anthony Wilson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174117766

Anthony Wilson is a Student in an Organized Health Care Education/Training Program in Fort Wayne, Indiana. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

2200 Randallia Dr
Fort Wayne, IN 46805-4699
Phone: (260) 373-6727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1174117766
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 24, 2021
Last updated in NPPESMay 2, 2025
Certification dateMay 2, 2025
Mailing address2200 Randallia Dr, Fort Wayne, IN 46805-4699

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