Individual
LEANN J MAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, AGNP-C, RN, CNE
Contact information
Practice address
1145 W 300 N, BLUFFTON, IN 46714-9716
(260) 227-0906
Mailing address
3215 STELLHORN RD, FORT WAYNE, IN 46815-4697
(260) 483-9081
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
28131765A
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
28131765A
IN
Other
Enumeration date
01/14/2022
Last updated
10/28/2022
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