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Dana L Staddon, FNP-C
Family Nurse Practitioner in Fort Wayne, Indiana
NPI 1255878815

Dana L Staddon is a Family Nurse Practitioner based in Fort Wayne, IN and is specialized in Family. Dana L Staddon practices in Fort Wayne, IN and has the professional credentials of FNP-C. The NPI Number for Dana L Staddon is 1255878815 and holds a License No. AP09146 (Indiana).

The current practice location address for Dana L Staddon is 7601 W Jefferson Blvd, Fort Wayne, IN and can be reached out via phone at 260-436-8686.

Location: 7601 W Jefferson Blvd, Fort Wayne, IN, 46801-2526
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Provider Profile Details
NPI Number
1255878815
Provider Name
Dana L Staddon
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
7601 W Jefferson Blvd, Fort Wayne, IN, 46801-2526
Phone Number
260-436-8686
Fax Number
Provider Enumeration Date
01/20/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
F1216399 01 AMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION
71011484A 01 IN IN APRN LICENSE
AP09146 01 LA LA APRN LICENSE
institution
Provider Business Practice Location Address Details
Address
7601 W Jefferson Blvd
City
State
Zip
46804-4133
Phone Number
260-436-8686
Fax Number
person
Provider Business Mailing Address Details
Address
7601 W Jefferson Blvd
City
State
Zip
46804-4133
Phone Number
260-436-8686
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
AP09146 (Louisiana)
Definition
Definition to come...
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