person
Leanna Carol Fandl, NP
Family Nurse Practitioner in Portage, Indiana
NPI 1700162823

Leanna Carol Fandl is a Family Nurse Practitioner based in Portage, IN and is specialized in Family. Leanna Carol Fandl practices in Portage, IN and has the professional credentials of NP. The NPI Number for Leanna Carol Fandl is 1700162823 and holds a License No. 28105935A (Indiana).

The current practice location address for Leanna Carol Fandl is 6615 S Boundary Rd, Portage, IN and can be reached out via phone at 219-787-8662 and via fax at 219-787-8420.

Location: 6615 S Boundary Rd, Portage, IN, 46368-1373
person
Provider Profile Details
NPI Number
1700162823
Provider Name
Leanna Carol Fandl
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
6615 S Boundary Rd, Portage, IN, 46368-1373
Phone Number
219-787-8662
Fax Number
219-787-8420
Provider Enumeration Date
11/03/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6615 S Boundary Rd
City
State
Zip
46368-1373
Phone Number
219-787-8662
Fax Number
219-787-8420
person
Provider Business Mailing Address Details
Address
6615 S Boundary Rd
City
State
Zip
46368-1373
Phone Number
219-787-8662
Fax Number
219-787-8420
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
28105935A (Indiana)
Definition
Definition to come...
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