SEAN MAYER

FORT WAYNE, IN
NPI1487188983
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: IN  71007079A)
Additional Taxonomies163W00000X Registered Nurse
(Licence: IN  28222652A)
Enumeration Date2017-04-12
Last Update Date2017-05-08
Business Address
-- SEAN MAYER
3512 STELLHORN RD
FORT WAYNE, IN 46815-4631
Phone number: 260-483-9081
Mailing Address
-- SEAN MAYER
3512 STELLHORN RD
FORT WAYNE, IN 46815-4631
Phone number: 260-483-9081