Individual
ANGELA D SCHEID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
11055 TWIN CREEKS CV, FORT WAYNE, IN 46845-2204
(260) 425-6120
(260) 425-6115
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
71004617A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28163105A
RN LICENSE
IN
01
—
71004617A
PNP LICENSE
IN
01
—
71004617B
CSR
IN
Enumeration date
08/12/2013
Last updated
10/03/2022
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