Individual
BREIL SCHUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1721 MAGNAVOX WAY, FORT WAYNE, IN 46804-1537
(260) 748-3650
Mailing address
1721 MAGNAVOX WAY, FORT WAYNE, IN 46804-1537
(260) 748-3650
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
11002235
FL
363L00000X
Nurse Practitioner
Primary
71004922A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200934510
—
IN
Enumeration date
05/12/2014
Last updated
06/01/2023
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