Individual
GRACE SCHARLACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(260) 266-2500
(260) 266-2514
Mailing address
3702 NEW VISION DR BLDG B, FORT WAYNE, IN 46845-1703
(855) 737-5542
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71009262A
IN
Other
Enumeration date
09/11/2019
Last updated
10/12/2022
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