Individual
MRS. SUSAN REBEKAH DEFRAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
5910 HOMESTEAD RD, FORT WAYNE, IN 46814-4202
(260) 435-3222
Mailing address
5910 HOMESTEAD RD, FORT WAYNE, IN 46814-4202
(260) 435-3222
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AG02170207
IN
Other
Enumeration date
03/17/2017
Last updated
12/05/2025
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