Individual
AMANDA MARIE SCHRAEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1234 E DUPONT RD STE 7, FORT WAYNE, IN 46825-1545
(260) 266-5260
(260) 458-5913
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71011456A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300054675
—
IN
Enumeration date
10/08/2020
Last updated
06/13/2025
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