Individual ProviderTrang Ca LaubeNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address6017 Stoney Creek Dr, Fort Wayne, IN 46825-4410(260) 260-5159PECOS EnrollmentBased on the most recent information from CMS, provider Trang Ca Laube is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1104498773Provider TypeIndividualFull NameCa Laube, TrangCredentialAPRN, FNP-BCGenderFemaleSole ProprietorNoEnumeration Date7/13/2021Last Updated7/13/2021Contact InformationPractice LocationPractice Address6017 Stoney Creek Dr, Fort Wayne, IN 46825-4410Phone(260) 260-5159FaxUnlisted FaxMailing LocationMailing Address6017 Stoney Creek Dr, Fort Wayne, IN 46825-4410PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense71011307AIndiana