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Individual

LAURA MARIE FESSLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN, CCRN, AGACNP-BC

Contact information

Practice address
610 N MICHIGAN ST STE 400, SOUTH BEND, IN 46601-1081
(574) 647-8120
(574) 647-8111
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
71016976A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300121094
IN
Enumeration date
08/03/2018
Last updated
11/21/2025
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