Individual
MR. NATHANIAL DAVID SCHAEFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6326 CONSTITUTION DR, FORT WAYNE, IN 46804-1518
(260) 271-9821
Mailing address
15023 CYPRESS POINTE DR, FORT WAYNE, IN 46818-9256
(260) 271-9821
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
2022060453
IN
Other
Enumeration date
11/03/2022
Last updated
11/03/2022
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