SUSAN REBEKAH DEFRAIN

FORT WAYNE, IN
NPI1174064562
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: IN  AG02170207)
Enumeration Date2017-03-17
Last Update Date2025-12-05
Business Address
Mrs. SUSAN REBEKAH DEFRAIN NP-C
5910 HOMESTEAD RD
FORT WAYNE, IN 46814-4202
Phone number: 260-435-3222
Mailing Address
Mrs. SUSAN REBEKAH DEFRAIN NP-C
5910 HOMESTEAD RD
FORT WAYNE, IN 46814-4202
Phone number: 260-435-3222