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MR. NATHAN REIG MINER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP

Contact information

Practice address
1909 CAREW ST, FORT WAYNE, IN 46805-4707
(260) 481-2800
(260) 969-8442
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71010882A
IN

Other

Enumeration date
02/25/2021
Last updated
04/14/2025
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