Individual
CHANTELL SPOHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 NICHOLAS PL, AVILLA, IN 46710-0069
(260) 897-3308
(260) 897-3650
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28173978A
IN
363L00000X
Nurse Practitioner
Primary
71007644A
IN
Other
Enumeration date
06/13/2017
Last updated
06/29/2026
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