NATHANIAL DAVID SCHAEFER

FORT WAYNE, IN
NPI1871200360
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: IN  2022060453)
Enumeration Date2022-11-03
Last Update Date2022-11-03
Business Address
Mr. NATHANIAL DAVID SCHAEFER
6326 CONSTITUTION DR
FORT WAYNE, IN 46804-1518
Phone number: 260-271-9821
Mailing Address
Mr. NATHANIAL DAVID SCHAEFER
15023 CYPRESS POINTE DR
FORT WAYNE, IN 46818-9256
Phone number: 260-271-9821
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