Individual
MR. JON PHILIP HAUTZENROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
112 LINKS WAY, AURORA, IN 47001-1403
(812) 926-3133
(812) 926-1668
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(812) 926-3133
(812) 926-1668
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71011058A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F04180312
AMERICAN ASSOCIATION OF NURSE PRACTITIONERS
—
Enumeration date
01/16/2019
Last updated
11/21/2025
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