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Chandra Leigh Petro, NP
Family Nurse Practitioner in Fort Wayne, Indiana
NPI 1841534880

Chandra Leigh Petro is a Family Nurse Practitioner based in Fort Wayne, IN and is specialized in Family. Chandra Leigh Petro practices in Fort Wayne, IN and has the professional credentials of NP. The NPI Number for Chandra Leigh Petro is 1841534880 and holds a License No. 71004173A (Indiana).

The current practice location address for Chandra Leigh Petro is 7333 W Jefferson Blvd, Fort Wayne, IN and can be reached out via phone at 260-458-3830.

Location: 7333 W Jefferson Blvd, Fort Wayne, IN, 46804-7934
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841534880
Provider Name
Chandra Leigh Petro
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
7333 W Jefferson Blvd, Fort Wayne, IN, 46804-7934
Phone Number
260-458-3830
Fax Number
Provider Enumeration Date
11/15/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201120880 05 IN
institution
Provider Business Practice Location Address Details
Address
7333 W Jefferson Blvd
City
Fort Wayne
State
Indiana
Zip
46804-6280
Phone Number
260-458-3830
Fax Number
person
Provider Business Mailing Address Details
Address
7333 W Jefferson Blvd
City
Fort Wayne
State
Indiana
Zip
46804-6280
Phone Number
260-458-3830
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
71004173A (Indiana)
Definition
Definition to come...
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